2&#39;-chloroacetylenyl substituted nucleoside derivatives

ABSTRACT

The present invention relates to 2′-chloroacetylenyl-substituted nucleoside derivatives of the general formula (I): 
     
       
         
         
             
             
         
       
     
     As well as pharmaceutical compositions comprising such compounds and methods to treat or prevent an HIV infection, HBV infection, HCV infection or abnormal cellular proliferation, comprising administering said compounds or compositions. In addition, the present invention includes processes for the preparation of such compounds, and the related β-D and β-L-nucleoside derivatives.

RELATED APPLICATION(S)

This application claims the benefit of U.S. Provisional Application No. 61/538,312, filed on Sep. 23, 2011. The entire teachings of the above application(s) are incorporated herein by reference.

TECHNICAL FIELD

The present invention relates generally to compounds and pharmaceutical compositions useful as antiviral and antiproliferative agents. Specifically, the present invention relates to nucleoside derivatives with 2′-chloroacetylenyl substitution and methods for their preparation and use.

BACKGROUND OF THE INVENTION

Synthetic nucleosides such as 5-iodouracil and 5-fluorouracil have been used for the treatment of cancer for many years. Since the 1980's, synthetic nucleosides have also been a focus of interest for the treatment of HIV and hepatitis.

In 1981, acquired immune deficiency syndrome (AIDS) was identified as a disease that severely compromises the human immune system and that almost without exception leads to death. In 1983, the etiological cause of AIDS was determined to be the human immunodeficiency virus (HIV). In 1985, it was reported that the synthetic nucleoside 3′-azido-3′-deoxythymidine (AZT) inhibits the replication of human immunodeficiency virus. Since then, a number of other synthetic nucleosides, including 2′,3′-dideoxyinosine (DDI), 2′,3′-dideoxycytidine (DDC), and 2′,3′-dideoxy-2′,3′-didehydrothymidine (D4T), have been proven to be effective against HIV. After cellular phosphorylation to the 5′-triphosphate by cellular kinases, these synthetic nucleosides are incorporated into a growing strand of viral DNA, causing chain termination due to the absence of the 3′-hydroxyl group. They can also inhibit the viral enzyme reverse transcriptase.

The success of various synthetic nucleosides in inhibiting the replication of HIV in vivo or in vitro has led a number of researchers to design and test nucleosides that substitute a heteroatom for the carbon atom at the 3′-position of the nucleoside. European Patent Publication No. 0,337,713 and U.S. Pat. No. 5,041,449, assigned to BioChem Pharma, Inc., disclose 2-substituted-4-substituted-1,3-dioxolanes that exhibit antiviral activity. U.S. Pat. No. 5,047,407 and European Patent Publication No. 0,382,526, also assigned to BioChem Pharma, Inc., disclose that a number of 2-substituted-5-substituted-1,3-oxathiolane nucleosides have antiviral activity, and specifically report that 2-hydroxymethyl-5-(cytosin-1-yl)-1,3-oxathiolane (referred to below as BCH-189) has approximately the same activity against HIV as AZT, with little toxicity.

It has also been disclosed that cis-2-hydroxymethyl-5-(5-fluorocytosin-1-yl)-1,3-oxathiolane (“FTC”) has potent HIV activity. Schinazi, et al., “Selective Inhibition of Human Immunodeficiency viruses by Racemates and Enantiomers of cis-5-Fluoro-1-[2-(Hydroxymethyl)-1,3-Oxathiolane-5-yl]-Cytosine” Antimicrobial Agents and Chemotherapy, November 1992, 2423-2431. See also U.S. Pat. Nos. 5,210,085; 5,814,639; and 5,914,331.

Another virus that causes a serious human health problem is the hepatitis B virus (referred to below as “HBV”). HBV is second only to tobacco as a cause of human cancer. The mechanism by which HBV induces cancer is unknown. It is postulated that it may directly trigger tumor development, or indirectly trigger tumor development through chronic inflammation, cirrhosis, and cell regeneration associated with the infection.

After a two to six month incubation period in which the host is unaware of the infection, HBV infection can lead to acute hepatitis and liver damage, that causes abdominal pain, jaundice, and elevated blood levels of certain enzymes. HBV can cause fulminant hepatitis, a rapidly progressive, often fatal form of the disease in which massive sections of the liver are destroyed.

Patients typically recover from acute hepatitis. In some patients, however, high levels of viral antigen persist in the blood for an extended or indefinite period, causing a chronic infection. Chronic infections can lead to chronic persistent hepatitis. Patients infected with chronic persistent HBV are most common in developing countries. By mid-1991, there were approximately 225 million chronic carriers of HBV in Asia alone, and worldwide, almost 300 million carriers. Chronic persistent hepatitis can cause fatigue, cirrhosis of the liver, and hepatocellular carcinoma, a primary liver cancer.

In western industrialized countries, high risk groups for HBV infection include those in contact with HBV carriers or their blood samples. The epidemiology of HBV is very similar to that of acquired immune deficiency syndrome, which accounts for why HBV infection is common among patients with AIDS or AIDS related complex. However, HBV is more contagious than HIV.

Both FTC and 3TC exhibit activity against HBV. Furman, et al., “The Anti-Hepatitis B Virus Activities, Cytotoxicities, and Anabolic Profiles of the (−) and (+) Enantiomers of cis-5-Fluoro-1-[2-(Hydroxymethyl)-1,3-oxathiolane-5-yl]-Cytosine” Antimicrobial Agents and Chemotherapy, December 1992, pp. 2686-2692; and Cheng, et al., Journal of Biological Chemistry, Volume 267(20), pp. 13938-13942 (1992). Other compounds that exhibit activity against HBV in humans include Clevudine or CLV (L-FMAU) (Pharmasset, Inc. under license from The University of Georgia Research Foundation and Yale University), and L-dT and L-dC (Idenix Pharmaceuticals, Inc.).

HCV is the major causative agent for post-transfusion and for sporadic non A, non B hepatitis (Alter, H. J. (1990) J. Gastro. Hepatol. 1:78-94; Dienstag, J. L. (1983) Gastro 85:439-462). Despite improved screening, HCV still accounts for at least 25% of the acute viral hepatitis in many countries (Alter, H. J. (1990) supra; Dienstag, J. L. (1983) supra; Alter M. J. et al. (1990a) J.A.M.A. 264:2231-2235; Alter M. J. et at (1992) N. Engl. J. Med. 327:1899-1905; Alter, M. J. et al. (1990b) N. Engl. J. Med. 321:1494-1500). Infection by HCV is insidious in a high proportion of chronically infected (and infectious) carriers who may not experience clinical symptoms for many years. The high rate of progression of acute infection to chronic infection (70-100%) and liver disease (>50%), its world-wide distribution and lack of a vaccine make HCV a significant cause of morbidity and mortality. Currently, there are three types of interferon and a combination of interferon and ribavirin used to treat hepatitis C. Selection of patients for treatment may be determined by biochemical, virologic, and when necessary, liver biopsy findings, rather than presence or absence of symptoms.

Interferon is given by injection, and may have a number of side effects including flu-like symptoms including headaches, fever, fatigue, loss of appetite, nausea, vomiting, depression and thinning of hair. It may also interfere with the production of white blood cells and platelets by depressing the bone marrow. Periodic blood tests are required to monitor blood cells and platelets. Ribavirin can cause sudden, severe anemia, and birth defects so women should avoid pregnancy while taking it and for 6 months following treatment. The severity and type of side effects differ for each individual. Treatment of children with HCV is not currently approved but is under investigation. While 50-60% of patients respond to treatment initially, lasting clearance of the virus occurs in only about 10-40% of patients. Treatment may be prolonged and given a second time to those who relapse after initial treatment. Re-treatment with bioengineered consensus interferon alone results in elimination of the virus in 58% of patients treated for one year. Side effects occur but the medication is usually well tolerated. Combined therapy (interferon and ribavirin) shows elimination of the virus in 47% after 6 months of therapy. Side effects from both drugs may be prominent.

A tumor is an unregulated, disorganized proliferation of cell growth. A tumor is malignant, or cancerous, if it has the properties of invasiveness and metastasis. Invasiveness refers to the tendency of a tumor to enter surrounding tissue, breaking through the basal laminas that define the boundaries of the tissues, thereby often entering the body's circulatory system. Metastasis refers to the tendency of a tumor to migrate to other areas of the body and establish areas of proliferation away from the site of initial appearance.

Cancer is now the second leading cause of death in the United States. Over 8,000,000 persons in the United States have been diagnosed with cancer, with 1,208,000 new diagnoses expected in 1994. Over 500,000 people die annually from the disease in this country.

Cancer is not fully understood on the molecular level. It is known that exposure of a cell to a carcinogen such as certain viruses, certain chemicals, or radiation, leads to DNA alteration that inactivates a “suppressive” gene or activates an “oncogene.” Suppressive genes are growth regulatory genes, which upon mutation, can no longer control cell growth. Oncogenes are initially normal genes (called prooncongenes) that by mutation or altered context of expression become transforming genes. The products of transforming genes cause inappropriate cell growth. More than twenty different normal cellular genes can become oncongenes by genetic alteration. Transformed cells differ from normal cells in many ways, including cell morphology, cell-to-cell interactions, membrane content, cytoskeletal structure, protein secretion, gene expression and mortality (transformed cells can grow indefinitely).

All of the various cell types of the body can be transformed into benign or malignant tumor cells. The most frequent tumor site is lung, followed by colorectal, breast, prostate, bladder, pancreas and then ovary. Other prevalent types of cancer include leukemia, central nervous system cancers, including brain cancer, melanoma, lymphoma, erythroleukemia, uterine cancer, and head and neck cancer.

Cancer is now primarily treated with one or a combination of three means of therapies: surgery, radiation and chemotherapy. Surgery involves the bulk removal of diseased tissue. While surgery is sometimes effective in removing tumors located at certain sites, for example, in the breast, colon and skin, it cannot be used in the treatment of tumors located in other areas, such as the backbone, or in the treatment of disseminated neoplastic conditions such as leukemia.

Chemotherapy involves the disruption of cell replication or cell metabolism. It is used most often in the treatment of leukemia, as well as breast, lung, and testicular cancer.

There are five major classes of chemotherapeutic agents currently in use for the treatment of cancer: natural products and their derivatives; anthacyclines; alkylating agents; antiproliferatives (also called antimetabolites); and hormonal agents. Chemotherapeutic agents are often referred to as antineoplastic agents.

The alkylating agents are believed to act by alkylating and cross-linking guanine and possibly other bases in DNA, arresting cell division. Typical alkylating agents include nitrogen mustards, ethyleneimine compounds, alkyl sulfates, cisplatin and various nitrosoureas. A disadvantage with these compounds is that they not only attack malignant cells, but also other cells which are naturally dividing, such as those of bone marrow, skin, gastrointestinal mucosa, and fetal tissue.

Antimetabolites are typically reversible or irreversible enzyme inhibitors, or compounds that otherwise interfere with the replication, translation or transcription of nucleic acids.

Several synthetic nucleosides have been identified that exhibit anticancer activity. A well known nucleoside derivative with strong anticancer activity is 5-fluorouracil. 5-Fluorouracil has been used clinically in the treatment of malignant tumors, including, for example, carcinomas, sarcomas, skin cancer, cancer of the digestive organs, and breast cancer. 5-Fluorouracil, however, causes serious adverse reactions such as nausea, alopecia, diarrhea, stomatitis, leukocytic thrombocytopenia, anorexia, pigmentation and edema. Derivatives of 5-fluorouracil with anti-cancer activity have been described in U.S. Pat. No. 4,336,381, and in Japanese patent publication Nos. 50-50383, 50-50384, 50-64281, 51-146482, and 53-84981.

U.S. Pat. No. 4,000,137 discloses that the peroxidate oxidation product of inosine, adenosine or cytidine with methanol or ethanol has activity against lymphocytic leukemia.

Cytosine arabinoside (also referred to as Cytarabin, araC, and Cytosar) is a nucleoside analog of deoxycytidine that was first synthesized in 1950 and introduced into clinical medicine in 1963. It is currently an important drug in the treatment of acute myeloid leukemia. It is also active against acute lymphocytic leukemia, and to a lesser extent, is useful in chronic myelocytic leukemia and non-Hodgkin's lymphoma. The primary action of araC is inhibition of nuclear DNA synthesis. Handschumacher, R. and Cheng, Y., “Purine and Pyrimidine Antimetabolites” Cancer Medicine, Chapter XV-I, 3rd Edition, Edited by J. Holland, et al., Lea and Febigol, publishers.

5-Azacytidine is a cytidine analog that is primarily used in the treatment of acute myelocytic leukemia and myelodysplastic syndrome.

2-Fluoroadenosine-5′-phosphate (Fludara, also referred to as FaraA) is one of the most active agents in the treatment of chronic lymphocytic leukemia. The compound acts by inhibiting DNA synthesis. Treatment of cells with F-araA is associated with the accumulation of cells at the G1/S phase boundary and in S phase; thus, it is a cell cycle S phase-specific drug. Incorporation of the active metabolite, F-araATP, retards DNA chain elongation. F-araA is also a potent inhibitor of ribonucleotide reductase, the key enzyme responsible for the formation of dATP.

2-Chlorodeoxyadenosine is useful in the treatment of low grade B-cell neoplasms such as chronic lymphocytic leukemia, non-Hodgkins' lymphoma, and hairy-cell leukemia.

In light of the fact that acquired immune deficiency syndrome, AIDS-related complex, hepatitis B virus and hepatitis C virus have reached epidemic levels worldwide, and have tragic effects on the infected patient, there remains a strong need to provide new effective pharmaceutical agents to treat these diseases that have low toxicity to the host. Further, there is a need to provide new antiproliferative agents.

Therefore, it is an object of the present invention to provide a method and composition for the treatment of human patients or other host animals infected with HIV.

It is another object of the present invention to provide a method and composition for the treatment of human patients infected with hepatitis B or C.

It is a further object of the present invention to provide new antiproliferative agents.

It is still another object of the present invention to provide a new process for the preparation of 2′-chloroacetylenyl-substituted nucleoside derivatives of the present invention.

SUMMARY OF THE INVENTION

The present invention includes β-D and β-L-nucleoside derivatives, pharmaceutical compositions comprising such compounds, as well as methods to treat or prevent an HIV infection, HBV infection, HCV infection or abnormal cellular proliferation, comprising administering said compounds or compositions. In addition, the present invention includes processes for the preparation of such compounds, and the related β-D and β-L-nucleoside derivatives.

The compounds of the invention are 2′-chloroacetylenyl-substituted nucleoside derivatives of the general formula (I):

or the β-L enantiomer thereof, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof, wherein: R₁ is selected from the group consisting of:

1) hydrogen;

2) —CN;

3) halogen;

4) —N₃; and

5) Substituted or unsubstituted —C₁-C₈ alkyl;

R₂ and R_(4a) are independently selected from the group consisting of:

-   -   1) halogen;     -   2) —CN;     -   3) —N₃; and     -   4) OR₆; where R₆ is selected from the group consisting of:         hydrogen, hydroxy protecting group, —C(O)R₇, —C(O)OR₇, and         —C(O)NR_(8a)R_(8b); wherein R₇ is selected from the group         consisting of: substituted or unsubstituted —C₁-C₈ alkyl,         substituted or unsubstituted —C₂-C₈ alkenyl, substituted or         unsubstituted —C₂-C₈ alkynyl, substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, and substituted or         unsubstituted heterocyclic; R_(8a) and R_(8b) are each         independently selected from the group consisting of: hydrogen         and R₇; or alternatively R_(8a) and R_(8b) taken together with         the nitrogen atom to which they are attached form a heterocyclic         ring;         R₃ is R₆; or alternatively R₂ is —OR₆ and R₃ and R₆ together         form a group selected from: —C(Me)₂-, —C(CH₂)₄—, —CH(Ph)—,         —CH(OMe)— and —P(O)(OH)—.         B is selected from the group consisting of: substituted or         unsubstituted aryl, substituted or unsubstituted heteroaryl, and         substituted or unsubstituted heterocyclic; preferably a         heterocycle containing at least one nitrogen atom.         R_(5a) and R_(5b) are independently selected from the group         consisting of:     -   1) hydrogen;     -   2) substituted or unsubstituted —C₁-C₈ alkyl;     -   3) substituted or unsubstituted —C₂-C₈ alkenyl;     -   4) substituted or unsubstituted —C₂-C₈ alkynyl; and     -   5) or R_(5a) and R_(5b) are taken together with the carbon atoms         to which they are attached to form a group selected from —C₃-C₈         cycloalkyl, —C₃-C₈ cycloalkenyl, or —C₃-C₈ cycloalkynyl.         R₅ is selected from the group consisting of:     -   1) hydrogen;     -   2) R₆;     -   3) —P(O)(OR_(7a))(OR_(7b)); wherein R_(7a) and R_(7b) are each         independently selected from the group consisting of a)         hydrogen; b) unsubstituted or substituted —C₁-C₈ alkyl;     -   4) —P(O)(OR_(7a))—O—P(O)(OR_(7b))(OR_(7c)); wherein R_(7a) and         R_(7b) are previously defined; R_(7c) is selected from the group         consisting of a) hydrogen; b) unsubstituted or substituted         —C₁-C₈ alkyl;     -   5) —P(O)(OR_(7a))—O—P(O)(OR_(7b))—O—P(O)(OR_(7c))(OR_(7d));         wherein R_(7a), R_(7b) and R_(7c) are previously defined; R_(7d)         is selected from the group consisting of a) hydrogen; b)         unsubstituted or substituted —C₁-C₈ alkyl;     -   6)

where X is O or S; R₉ is R₇ wherein R₇ is previously defined; R₁₀, R₁₁ and R₁₂ are each independently selected from the group consisting of: a) hydrogen; and b) unsubstituted or substituted —C₁-C₈ alkyl; or R₁₁ is hydrogen, R₁₂ and R₁₀ taken together with the nitrogen which R₁₀ is attached to form a heterocyclic ring; or R₁₁ and R₁₂ taken together with the carbon which they are attached form a ring, preferably a carbocyclic or heterocyclic ring, and more preferably a cycloalkyl or cycloheteroalkyl ring; R₁₃ is hydrogen or R₇, wherein R₇ is previously defined; and

-   -   7)

where X is O or S; n is 1-4; R_(8a) and R_(8b) are as previously defined; R₁₄ is hydrogen or —(CO)—R₇, wherein R₇ is as previously defined. Or, R₅ and R₃ are taken together to form

where X is O or S; and R₆ is as previously defined.

In another embodiment, the present invention provides a pharmaceutical composition comprising a therapeutically effective amount of a compound or combination of compounds of the present invention, or a pharmaceutically acceptable salt form, prodrug, salt of a prodrug, stereoisomer, tautomer, solvate, or combination thereof, in combination with a pharmaceutically acceptable carrier or excipient.

In yet another embodiment, the present invention provides a method of inhibiting the replication of an RNA or DNA containing virus comprising contacting said virus with a therapeutically effective amount of a compound or a combination of compounds of the present invention, or a pharmaceutically acceptable salt, prodrug, salt of a pro drug, stereoisomer, tautomer, solvate, or combination thereof. Particularly, this invention is directed to methods of inhibiting the replication of HIV, HBV and HCV.

In still another embodiment, the present invention provides a method of treating or preventing infection caused by an RNA or DNA-containing virus comprising administering to a patient in need of such treatment a therapeutically effective amount of a compound or combination of compounds of the present invention, or a pharmaceutically acceptable salt form, prodrug, salt of a prodrug, stereoisomer, or tautomer, solvate, or combination thereof. Particularly, this invention is directed to methods of treating or preventing infection caused by HIV, HBV and HCV.

Yet another embodiment of the present invention provides the use of a compound or combination of compounds of the present invention, or a therapeutically acceptable salt form, prodrug, salt of a prodrug, stereoisomer or tautomer, solvate, or combination thereof, as defined hereinafter, in the preparation of a medicament for the treatment or prevention of infection caused by RNA or DNA-containing virus, specifically HIV, HBV and HCV.

DETAILED DESCRIPTION OF THE INVENTION

In a first embodiment of the present invention is a compound of Formula (I) as illustrated above, or a pharmaceutically acceptable salt, ester or prodrug thereof.

In a particular embodiment of the present invention is a β-D 2′-chloroacetylenyl substituted nucleoside derivatives represented by formula (II), or its β-L enantiomer, or pharmaceutically acceptable salt or prodrug thereof:

wherein R₁, R₂, R_(4a), R_(ya), R_(5b), R₃, B are as previously defined.

Illustrative structures of formula (II) can be represented, but not limited, by formula (II-1˜II-25) and the β-L enantiomers thereof:

wherein B is as previously defined;

In another particular embodiment of the present invention is a β-D 2′-chloroacetylenyl-substituted nucleoside diester derivatives represented by formula (III), or its β-L enantiomer, or pharmaceutically acceptable salt or prodrug thereof:

wherein R₁, R₂, R_(5a), R_(5b), R₇, and B are as previously defined.

In another particular embodiment of the present invention is a β-D 2′-chloroacetylenyl-substituted nucleoside phosphonamidate derivative represented by formula (IV), or its β-L enantiomer, or a pharmaceutically acceptable salt or prodrug thereof:

wherein R₁, R₂, R_(5a), R_(5b), R₃, R₉, R₁₀, R₁₁, R₁₂, R₁₃, and B are as previously defined. X is O or S. Illustrative structures of formula (IV) can be represented, but not limited, by formula (IV-1˜IV-12):

wherein R₁, R₂, R_(5a), R_(5b), and B are as previously defined.

In another particular embodiment of the present invention is a β-D 2′-chloroacetylenyl-substituted nucleoside phosphate derivative represented by formula (V), or its β-L enantiomer, or a pharmaceutically acceptable salt or prodrug thereof:

wherein R₁, R₂, R_(5a), R_(5b), R₃, R_(8a), R_(8b), R₁₄, and B are as previously defined. X is O or S. n is 1˜4.

In still another particular embodiment of the present invention is a β-D 2′-chloroacetylenyl-substituted nucleoside phosphate derivative represented by formula (VI), or its β-L enantiomer, or a pharmaceutically acceptable salt or prodrug thereof:

wherein R₁, R₂, R_(ya), R_(5b), R₆, and B are as previously defined. X is O or S.

In yet another particular embodiment of the present invention is a β-D 2′-chloroacetylenyl-substituted nucleoside derivative represented by formulas (I) to (VI), or the β-L enantiomer, or a pharmaceutically acceptable salt or prodrug thereof, with B at each occurrence is an optionally substituted aryl, heteroaryl, or heterocyclic; preferably a heterocycle moiety containing at least one nitrogen, most preferably a pyrimidinyl, purinyl group or the like of the general formula of (B1) and (B2):

wherein:

-   -   Y is selected from a group consisting of: O, S, NR_(8a),         NC(O)R₇, NC(O)OR₇ and NC(O)NR_(8a)R_(8b);     -   T, U, V and W are independently N or CR₁₈; wherein R₁₈ is         selected from a group consisting of: hydrogen, halogen, —CN,         —C(O)R₇, —C(O)NR_(8a)R_(8b), —NO₂, —N₃, —OR₇, —SR₇,         —NR_(8a)R_(8b), —OC(O)R₇, —OC(O)OR₇, —NHC(O)R₇, —NHC(O)OR₇ and         —NHC(O)NR_(8a)R_(8b), substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, substituted or         unsubstituted heterocyclic, substituted or unsubstituted —C₁-C₈         alkyl, substituted or unsubstituted —C₂-C₈ alkenyl, substituted         or unsubstituted —C₂-C₈ alkenyl;     -   R¹⁵, R¹⁶ and R¹⁷ at each occurrence are independently selected         from a group consisting of: hydrogen, halogen, —CN, —C(O)R₇,         —C(O)NR_(8a)R_(8b), —NO₂, —N₃, —OR₇, —SR₇, —NR_(8a)R_(8b),         —OC(O)R₇, —OC(O)OR₇, —NHC(O)R₇, —NHC(O)OR₇ and         —NHC(O)NR_(8a)R_(8b), substituted or unsubstituted aryl,         substituted or unsubstituted heteroaryl, substituted or         unsubstituted heterocyclic, substituted or unsubstituted —C₁-C₈         alkyl, substituted or unsubstituted —C₂-C₈ alkenyl, substituted         or unsubstituted —C₂-C₈ alkynyl.         Illustrative structures of B are represented by formula         (B1a˜B1r), (B2a˜B2o), and (B3a˜B3j):

wherein R_(8a), R₁₈, R₁₄, R¹⁵, R¹⁶ and R¹⁷ are as previously defined.

Representative compounds of the invention include, but are not limited to, the following compounds illustrated in Table 1 to Table 5.

Table 1 sets forth compounds of Formula (II-1) wherein R₂, R_(4a), R_(5a), R_(5b), and B are delineated for each example in Table 1.

TABLE 1 (II-1)

Example # R_(5a) R_(5b) R_(4a) R₂ B 1 H H H OH

2 H H H F

3 H H N₃ OH

4 H H N₃ F

5 H Me H OH

6 H Me H F

7 Me H H OH

8 Me H H F

9 H H H OH

10 H H H F

11 H H N₃ OH

12 H H N₃ F

13 H Me H OH

14 H Me H F

15 Me H H OH

16 Me H H F

17 H H H OH

18 H H H F

19 H H N₃ OH

20 H H N₃ F

21 H Me H OH

22 H Me H F

23 Me H H OH

24 Me H H F

25 H H H OH

26 H H H F

27 H H N₃ OH

28 H H N₃ F

29 H Me H OH

30 H Me H F

31 Me H H OH

32 Me H H F

33 H H H OH

34 H H H F

35 H H N₃ OH

36 H H N₃ F

37 H Me H OH

38 H Me H F

39 Me H H OH

40 Me H H F

41 H H H OH

42 H H H F

43 H H N₃ OH

44 H H N₃ F

45 H Me H OH

46 H Me H F

47 Me H H OH

48 Me H H F

49 H H H OH

50 H H H F

51 H H N₃ OH

52 H H N₃ F

53 H Me H OH

54 H Me H F

55 Me H H OH

56 Me H H F

57 H H H OH

58 H H H F

59 H H N₃ OH

60 H H N₃ F

61 H Me H OH

62 H Me H F

63 Me H H OH

64 Me H H F

65 H H H OH

66 H H H F

67 H H N₃ OH

68 H H N₃ F

69 H Me H OH

70 H Me H F

71 Me H H OH

72 Me H H F

73 H H H OH

74 H H H F

75 H H N₃ OH

76 H H N₃ F

77 H Me H OH

78 H Me H F

79 Me H H OH

80 Me H H F

Table 2 sets forth compounds of Formula (III-1) wherein R₂, R₇, R_(5a), R_(5b), and B are delineated for each example in Table 2.

TABLE 2 (III-1)

Example # R_(5a) R_(5b) R₂ R₇ B 81 H H OH i-Pr

82 H H F i-Pr

83 H Me OH i-Pr

84 H Me F i-Pr

85 Me H OH i-Pr

86 Me H F i-Pr

87 H H OH i-Pr

88 H H F i-Pr

89 H Me OH i-Pr

90 H Me F i-Pr

91 Me H OH i-Pr

92 Me H F i-Pr

93 H H OH i-Pr

94 H H F i-Pr

95 H Me OH i-Pr

96 H Me F i-Pr

97 Me H OH i-Pr

98 Me H F i-Pr

99 H H OH i-Pr

100 H H F i-Pr

101 H Me OH i-Pr

101a H Me F i-Pr

102 Me H OH i-Pr

103 Me H F i-Pr

104 H H OH i-Pr

105 H H F i-Pr

106 H Me OH i-Pr

107 H Me F i-Pr

108 Me H OH i-Pr

109 Me H F i-Pr

110 H H OH i-Pr

111 H H F i-Pr

112 H Me OH i-Pr

113 H Me F i-Pr

114 Me H OH i-Pr

115 Me H F i-Pr

116 H H OH i-Pr

117 H H F i-Pr

118 H Me OH i-Pr

119 H Me F i-Pr

120 Me H OH i-Pr

121 Me H F i-Pr

122 H H OH i-Pr

123 H H F i-Pr

124 H Me OH i-Pr

125 H Me F i-Pr

126 Me H OH i-Pr

127 Me H F i-Pr

128 H H OH i-Pr

129 H H F i-Pr

130 H Me OH i-Pr

131 H Me F i-Pr

132 Me H OH i-Pr

133 Me H F i-Pr

134 H H OH i-Pr

135 H H F i-Pr

136 H Me OH i-Pr

137 H Me F i-Pr

138 Me H OH i-Pr

139 Me H F i-Pr

140 H H OH Et

141 H H F Et

142 H Me OH Et

143 H Me F Et

144 Me H OH Et

145 Me H F Et

146 H H OH Et

147 H H F Et

148 H Me OH Et

149 H Me F Et

150 Me H OH Et

151 Me H F Et

152 H H OH Et

153 H H F Et

154 H Me OH Et

155 H Me F Et

156 Me H OH Et

157 Me H F Et

158 H H OH Et

159 H H F Et

160 H Me OH Et

161 H Me F Et

162 Me H OH Et

163 Me H F Et

164 H H OH Et

165 H H F Et

166 H Me OH Et

167 H Me F Et

168 Me H OH Et

169 Me H F Et

170 H H OH Et

171 H H F Et

172 H Me OH Et

173 H Me F Et

174 Me H OH Et

175 Me H F Et

176 H H OH Et

177 H H F Et

178 H Me OH Et

179 H Me F Et

180 Me H OH Et

181 Me H F Et

182 H H OH Et

183 H H F Et

184 H Me OH Et

185 H Me F Et

186 Me H OH Et

187 Me H F Et

188 H H OH Et

189 H H F Et

190 H Me OH Et

191 H Me F Et

192 Me H OH Et

193 Me H F Et

194 H H OH Et

195 H H F Et

196 H Me OH Et

197 H Me F Et

198 Me H OH Et

199 Me H F Et

200 H H OH i-Bu

201 H H F i-Bu

202 H Me OH i-Bu

203 H Me F i-Bu

204 Me H OH i-Bu

205 Me H F i-Bu

206 H H OH i-Bu

207 H H F i-Bu

208 H Me OH i-Bu

209 H Me F i-Bu

210 Me H OH i-Bu

211 Me H F i-Bu

212 H H OH i-Bu

213 H H F i-Bu

214 H Me OH i-Bu

215 H Me F i-Bu

216 Me H OH i-Bu

217 Me H F i-Bu

218 H H OH i-Bu

219 H H F i-Bu

220 H Me OH i-Bu

221 H Me F i-Bu

222 Me H OH i-Bu

223 Me H F i-Bu

224 H H OH i-Bu

225 H H F i-Bu

226 H Me OH i-Bu

227 H Me F i-Bu

228 Me H OH i-Bu

229 Me H F i-Bu

230 H H OH i-Bu

231 H H F i-Bu

232 H Me OH i-Bu

233 H Me F i-Bu

234 Me H OH i-Bu

235 Me H F i-Bu

236 H H OH i-Bu

237 H H F i-Bu

238 H Me OH i-Bu

239 H Me F i-Bu

240 Me H OH i-Bu

241 Me H F i-Bu

242 H H OH i-Bu

243 H H F i-Bu

244 H Me OH i-Bu

245 H Me F i-Bu

246 Me H OH i-Bu

247 Me H F i-Bu

248 H H OH i-Bu

249 H H F i-Bu

250 H Me OH i-Bu

251 H Me F i-Bu

252 Me H OH i-Bu

253 Me H F i-Bu

254 H H OH i-Bu

255 H H F i-Bu

256 H Me OH i-Bu

257 H Me F i-Bu

259 Me H OH i-Bu

260 Me H F i-Bu

Table 3 sets forth compounds of Formula (IV-1) wherein R₂, R₉, R₁₂, R₁₃, and B are delineated for each example in Table 3.

TABLE 3 (IV-1)

Example # R₂ R₉ R₁₂ R₁₃ B 261 OH Ph Me Me

262 F Ph Me Me

263 OH Ph Me Me

264 F Ph Me Me

265 OH Ph Me Me

266 F Ph Me Me

267 OH Ph Me Me

268 F Ph Me Me

269 OH Ph Me Me

270 F Ph Me Me

271 OH Ph Me Me

272 F Ph Me Me

273 OH Ph Me Me

274 F Ph Me Me

275 OH Ph Me Me

276 F Ph Me Me

277 OH Ph Me Me

278 F Ph Me Me

279 OH Ph Me Me

280 F Ph Me Me

281 OH 1-Naphthyl Me Me

282 F 1-Naphthyl Me Me

283 OH 1-Naphthyl Me Me

284 F 1-Naphthyl Me Me

285 OH 1-Naphthyl Me Me

286 F 1-Naphthyl Me Me

287 OH 1-Naphthyl Me Me

288 F 1-Naphthyl Me Me

289 OH 1-Naphthyl Me Me

290 F 1-Naphthyl Me Me

291 OH 1-Naphthyl Me Me

292 F 1-Naphthyl Me Me

293 OH 1-Naphthyl Me Me

294 F 1-Naphthyl Me Me

295 OH 1-Naphthyl Me Me

296 F 1-Naphthyl Me Me

297 OH 1-Naphthyl Me Me

298 F 1-Naphthyl Me Me

299 OH 1-Naphthyl Me Me

300 F 1-Naphthyl Me Me

301 OH Ph H Me

302 F Ph H Me

303 OH Ph H Me

304 F Ph H Me

305 OH Ph H Me

306 F Ph H Me

307 OH Ph H Me

308 F Ph H Me

309 OH Ph H Me

310 F Ph H Me

311 OH Ph H Me

312 F Ph H Me

313 OH Ph H Me

314 F Ph H Me

315 OH Ph H Me

316 F Ph H Me

317 OH Ph H Me

318 F Ph H Me

319 OH Ph H Me

320 F Ph H Me

321 OH 1-Naphthyl H Me

322 F 1-Naphthyl H Me

323 OH 1-Naphthyl H Me

324 F 1-Naphthyl H Me

325 OH 1-Naphthyl H Me

326 F 1-Naphthyl H Me

327 OH 1-Naphthyl H Me

328 F 1-Naphthyl H Me

329 OH 1-Naphthyl H Me

330 F 1-Naphthyl H Me

331 OH 1-Naphthyl H Me

332 F 1-Naphthyl H Me

333 OH 1-Naphthyl H Me

334 F 1-Naphthyl H Me

335 OH 1-Naphthyl H Me

336 F 1-Naphthyl H Me

337 OH 1-Naphthyl H Me

338 F 1-Naphthyl H Me

339 OH 1-Naphthyl H Me

340 F 1-Naphthyl H Me

341 OH Ph Me n-Pentyl

342 F Ph Me n-Pentyl

343 OH Ph Me n-Pentyl

344 F Ph Me n-Pentyl

345 OH Ph Me n-Pentyl

346 F Ph Me n-Pentyl

347 OH Ph Me n-Pentyl

348 F Ph Me n-Pentyl

349 OH Ph Me n-Pentyl

350 F Ph Me n-Pentyl

351 OH Ph Me n-Pentyl

352 F Ph Me n-Pentyl

353 OH Ph Me n-Pentyl

354 F Ph Me n-Pentyl

355 OH Ph Me n-Pentyl

356 F Ph Me n-Pentyl

357 OH Ph Me n-Pentyl

358 F Ph Me n-Pentyl

359 OH Ph Me n-Pentyl

360 F Ph Me n-Pentyl

361 OH 1-Naphthyl Me n-Pentyl

362 F 1-Naphthyl Me n-Pentyl

363 OH 1-Naphthyl Me n-Pentyl

364 F 1-Naphthyl Me n-Pentyl

365 OH 1-Naphthyl Me n-Pentyl

366 F 1-Naphthyl Me n-Pentyl

367 OH 1-Naphthyl Me n-Pentyl

368 F 1-Naphthyl Me n-Pentyl

369 OH 1-Naphthyl Me n-Pentyl

370 F 1-Naphthyl Me n-Pentyl

371 OH 1-Naphthyl Me n-Pentyl

372 F 1-Naphthyl Me n-Pentyl

373 OH 1-Naphthyl Me n-Pentyl

374 F 1-Naphthyl Me n-Pentyl

375 OH 1-Naphthyl Me n-Pentyl

376 F 1-Naphthyl Me n-Pentyl

377 OH 1-Naphthyl Me n-Pentyl

378 F 1-Naphthyl Me n-Pentyl

379 OH 1-Naphthyl Me n-Pentyl

380 F 1-Naphthyl Me n-Pentyl

381 OH Ph H n-Pentyl

382 F Ph H n-Pentyl

383 OH Ph H n-Pentyl

384 F Ph H n-Pentyl

385 OH Ph H n-Pentyl

386 F Ph H n-Pentyl

387 OH Ph H n-Pentyl

388 F Ph H n-Pentyl

389 OH Ph H n-Pentyl

390 F Ph H n-Pentyl

391 OH Ph H n-Pentyl

392 F Ph H n-Pentyl

393 OH Ph H n-Pentyl

394 F Ph H n-Pentyl

395 OH Ph H n-Pentyl

396 F Ph H n-Pentyl

397 OH Ph H n-Pentyl

398 F Ph H n-Pentyl

399 OH Ph H n-Pentyl

400 F Ph H n-Pentyl

401 OH 1-Naphthyl H n-Pentyl

402 F 1-Naphthyl H n-Pentyl

403 OH 1-Naphthyl H n-Pentyl

404 F 1-Naphthyl H n-Pentyl

405 OH 1-Naphthyl H n-Pentyl

406 F 1-Naphthyl H n-Pentyl

407 OH 1-Naphthyl H n-Pentyl

408 F 1-Naphthyl H n-Pentyl

409 OH 1-Naphthyl H n-Pentyl

410 F 1-Naphthyl H n-Pentyl

411 OH 1-Naphthyl H n-Pentyl

412 F 1-Naphthyl H n-Pentyl

413 OH 1-Naphthyl H n-Pentyl

414 F 1-Naphthyl H n-Pentyl

415 OH 1-Naphthyl H n-Pentyl

416 F 1-Naphthyl H n-Pentyl

417 OH 1-Naphthyl H n-Pentyl

418 F 1-Naphthyl H n-Pentyl

419 OH 1-Naphthyl H n-Pentyl

420 F 1-Naphthyl H n-Pentyl

421 OH Ph Me i-Pr

422 F Ph Me i-Pr

423 OH Ph Me i-Pr

424 F Ph Me i-Pr

425 OH Ph Me i-Pr

426 F Ph Me i-Pr

427 OH Ph Me i-Pr

428 F Ph Me i-Pr

429 OH Ph Me i-Pr

430 F Ph Me i-Pr

431 OH Ph Me i-Pr

432 F Ph Me i-Pr

433 OH Ph Me i-Pr

434 F Ph Me i-Pr

435 OH Ph Me i-Pr

436 F Ph Me i-Pr

437 OH Ph Me i-Pr

438 F Ph Me i-Pr

439 OH Ph Me i-Pr

440 F Ph Me i-Pr

441 OH 1-Naphthyl Me i-Pr

442 F 1-Naphthyl Me i-Pr

443 OH 1-Naphthyl Me i-Pr

444 F 1-Naphthyl Me i-Pr

445 OH 1-Naphthyl Me i-Pr

446 F 1-Naphthyl Me i-Pr

447 OH 1-Naphthyl Me i-Pr

448 F 1-Naphthyl Me i-Pr

449 OH 1-Naphthyl Me i-Pr

450 F 1-Naphthyl Me i-Pr

451 OH 1-Naphthyl Me i-Pr

452 F 1-Naphthyl Me i-Pr

453 OH 1-Naphthyl Me i-Pr

454 F 1-Naphthyl Me i-Pr

455 OH 1-Naphthyl Me i-Pr

456 F 1-Naphthyl Me i-Pr

457 OH 1-Naphthyl Me i-Pr

458 F 1-Naphthyl Me i-Pr

459 OH 1-Naphthyl Me i-Pr

460 F 1-Naphthyl Me i-Pr

461 OH Ph H i-Pr

462 F Ph H i-Pr

463 OH Ph H i-Pr

464 F Ph H i-Pr

465 OH Ph H i-Pr

466 F Ph H i-Pr

467 OH Ph H i-Pr

468 F Ph H i-Pr

469 OH Ph H i-Pr

470 F Ph H i-Pr

471 OH Ph H i-Pr

472 F Ph H i-Pr

473 OH Ph H i-Pr

474 F Ph H i-Pr

475 OH Ph H i-Pr

476 F Ph H i-Pr

477 OH Ph H i-Pr

478 F Ph H i-Pr

479 OH Ph H i-Pr

480 F Ph H i-Pr

481 OH 1-Naphthyl H i-Pr

482 F 1-Naphthyl H i-Pr

483 OH 1-Naphthyl H i-Pr

484 F 1-Naphthyl H i-Pr

485 OH 1-Naphthyl H i-Pr

486 F 1-Naphthyl H i-Pr

487 OH 1-Naphthyl H i-Pr

488 F 1-Naphthyl H i-Pr

489 OH 1-Naphthyl H i-Pr

490 F 1-Naphthyl H i-Pr

491 OH 1-Naphthyl H i-Pr

492 F 1-Naphthyl H i-Pr

493 OH 1-Naphthyl H i-Pr

494 F 1-Naphthyl H i-Pr

495 OH 1-Naphthyl H i-Pr

496 F 1-Naphthyl H i-Pr

497 OH 1-Naphthyl H i-Pr

498 F 1-Naphthyl H i-Pr

499 OH 1-Naphthyl H i-Pr

500 F 1-Naphthyl H i-Pr

501 OH Ph Me Benzyl

502 F Ph Me Benzyl

503 OH Ph Me Benzyl

504 F Ph Me Benzyl

505 OH Ph Me Benzyl

506 F Ph Me Benzyl

507 OH Ph Me Benzyl

508 F Ph Me Benzyl

509 OH Ph Me Benzyl

510 F Ph Me Benzyl

511 OH Ph Me Benzyl

512 F Ph Me Benzyl

513 OH Ph Me Benzyl

514 F Ph Me Benzyl

515 OH Ph Me Benzyl

516 F Ph Me Benzyl

517 OH Ph Me Benzyl

518 F Ph Me Benzyl

519 OH Ph Me Benzyl

520 F Ph Me Benzyl

521 OH 1-Naphthyl Me Benzyl

522 F 1-Naphthyl Me Benzyl

523 OH 1-Naphthyl Me Benzyl

524 F 1-Naphthyl Me Benzyl

525 OH 1-Naphthyl Me Benzyl

526 F 1-Naphthyl Me Benzyl

527 OH 1-Naphthyl Me Benzyl

528 F 1-Naphthyl Me Benzyl

529 OH 1-Naphthyl Me Benzyl

530 F 1-Naphthyl Me Benzyl

531 OH 1-Naphthyl Me Benzyl

532 F 1-Naphthyl Me Benzyl

533 OH 1-Naphthyl Me Benzyl

534 F 1-Naphthyl Me Benzyl

535 OH 1-Naphthyl Me Benzyl

536 F 1-Naphthyl Me Benzyl

537 OH 1-Naphthyl Me Benzyl

538 F 1-Naphthyl Me Benzyl

539 OH 1-Naphthyl Me Benzyl

540 F 1-Naphthyl Me Benzyl

541 OH Ph H Benzyl

542 F Ph H Benzyl

543 OH Ph H Benzyl

544 F Ph H Benzyl

545 OH Ph H Benzyl

546 F Ph H Benzyl

547 OH Ph H Benzyl

548 F Ph H Benzyl

549 OH Ph H Benzyl

550 F Ph H Benzyl

551 OH Ph H Benzyl

552 F Ph H Benzyl

553 OH Ph H Benzyl

554 F Ph H Benzyl

555 OH Ph H Benzyl

556 F Ph H Benzyl

557 OH Ph H Benzyl

558 F Ph H Benzyl

559 OH Ph H Benzyl

560 F Ph H Benzyl

561 OH 1-Naphthyl H Benzyl

562 F 1-Naphthyl H Benzyl

563 OH 1-Naphthyl H Benzyl

564 F 1-Naphthyl H Benzyl

565 OH 1-Naphthyl H Benzyl

566 F 1-Naphthyl H Benzyl

567 OH 1-Naphthyl H Benzyl

568 F 1-Naphthyl H Benzyl

569 OH 1-Naphthyl H Benzyl

570 F 1-Naphthyl H Benzyl

571 OH 1-Naphthyl H Benzyl

572 F 1-Naphthyl H Benzyl

573 OH 1-Naphthyl H Benzyl

574 F 1-Naphthyl H Benzyl

575 OH 1-Naphthyl H Benzyl

576 F 1-Naphthyl H Benzyl

577 OH 1-Naphthyl H Benzyl

578 F 1-Naphthyl H Benzyl

579 OH 1-Naphthyl H Benzyl

580 F 1-Naphthyl H Benzyl

581 OH Ph Me t-BuCH₂—

582 F Ph Me t-BuCH₂—

583 OH Ph Me t-BuCH₂—

584 F Ph Me t-BuCH₂—

585 OH Ph Me t-BuCH₂—

586 F Ph Me t-BuCH₂—

587 OH Ph Me t-BuCH₂—

588 F Ph Me t-BuCH₂—

589 OH Ph Me t-BuCH₂—

590 F Ph Me t-BuCH₂—

591 OH Ph Me t-BuCH₂—

592 F Ph Me t-BuCH₂—

593 OH Ph Me t-BuCH₂—

594 F Ph Me t-BuCH₂—

595 OH Ph Me t-BuCH₂—

596 F Ph Me t-BuCH₂—

597 OH Ph Me t-BuCH₂—

598 F Ph Me t-BuCH₂—

599 OH Ph Me t-BuCH₂—

600 F Ph Me t-BuCH₂—

601 OH 1-Naphthyl Me t-BuCH₂—

602 F 1-Naphthyl Me t-BuCH₂—

603 OH 1-Naphthyl Me t-BuCH₂—

604 F 1-Naphthyl Me t-BuCH₂—

605 OH 1-Naphthyl Me t-BuCH₂—

606 F 1-Naphthyl Me t-BuCH₂—

607 OH 1-Naphthyl Me t-BuCH₂—

608 F 1-Naphthyl Me t-BuCH₂—

609 OH 1-Naphthyl Me t-BuCH₂—

610 F 1-Naphthyl Me t-BuCH₂—

611 OH 1-Naphthyl Me t-BuCH₂—

612 F 1-Naphthyl Me t-BuCH₂—

613 OH 1-Naphthyl Me t-BuCH₂—

614 F 1-Naphthyl Me t-BuCH₂—

615 OH 1-Naphthyl Me t-BuCH₂—

616 F 1-Naphthyl Me t-BuCH₂—

617 OH 1-Naphthyl Me t-BuCH₂—

618 F 1-Naphthyl Me t-BuCH₂—

619 OH 1-Naphthyl Me t-BuCH₂—

620 F 1-Naphthyl Me t-BuCH₂—

621 OH Ph H t-BuCH₂—

622 F Ph H t-BuCH₂—

623 OH Ph H t-BuCH₂—

624 F Ph H t-BuCH₂—

625 OH Ph H t-BuCH₂—

626 F Ph H t-BuCH₂—

627 OH Ph H t-BuCH₂—

628 F Ph H t-BuCH₂—

629 OH Ph H t-BuCH₂—

630 F Ph H t-BuCH₂—

631 OH Ph H t-BuCH₂—

632 F Ph H t-BuCH₂—

633 OH Ph H t-BuCH₂—

634 F Ph H t-BuCH₂—

635 OH Ph H t-BuCH₂—

636 F Ph H t-BuCH₂—

637 OH Ph H t-BuCH₂—

638 F Ph H t-BuCH₂—

639 OH Ph H t-BuCH₂—

640 F Ph H t-BuCH₂—

641 OH 1-Naphthyl H t-BuCH₂—

642 F 1-Naphthyl H t-BuCH₂—

643 OH 1-Naphthyl H t-BuCH₂—

644 F 1-Naphthyl H t-BuCH₂—

645 OH 1-Naphthyl H t-BuCH₂—

646 F 1-Naphthyl H t-BuCH₂—

647 OH 1-Naphthyl H t-BuCH₂—

648 F 1-Naphthyl H t-BuCH₂—

649 OH 1-Naphthyl H t-BuCH₂—

650 F 1-Naphthyl H t-BuCH₂—

651 OH 1-Naphthyl H t-BuCH₂—

652 F 1-Naphthyl H t-BuCH₂—

653 OH 1-Naphthyl H t-BuCH₂—

654 F 1-Naphthyl H t-BuCH₂—

655 OH 1-Naphthyl H t-BuCH₂—

656 F 1-Naphthyl H t-BuCH₂—

657 OH 1-Naphthyl H t-BuCH₂—

658 F 1-Naphthyl H t-BuCH₂—

659 OH 1-Naphthyl H t-BuCH₂—

660 F 1-Naphthyl H t-BuCH₂—

Table 4 sets forth compounds of Formula (V-1) wherein R₂, R_(8a), R_(8b), R₁₄, and B are delineated for each example in Table 4.

TABLE 4 (V-1)

Example # R₂ R₁₄ NR_(8a)R_(8b) B 661 OH

662 F

663 OH

664 F

665 OH

666 F

667 OH

668 F

669 OH

670 F

671 OH

672 F

673 OH

674 F

675 OH

676 F

677 OH

678 F

679 OH

680 F

681 OH

682 F

683 OH

684 F

685 OH

686 F

687 OH

688 F

689 OH

690 F

691 OH

692 F

693 OH

694 F

695 OH

696 F

697 OH

698 F

699 OH

700 F

701 OH

702 F

703 OH

704 F

705 OH

706 F

707 OH

708 F

709 OH

710 F

711 OH

712 F

713 OH

714 F

715 OH

716 F

717 OH

718 F

719 OH

720 F

721 OH

722 F

723 OH

724 F

725 OH

726 F

727 OH

728 F

729 OH

730 F

731 OH

732 F

733 OH

734 F

735 OH

736 F

737 OH

738 F

739 OH

740 F

741 OH

742 F

743 OH

744 F

745 OH

746 F

747 OH

748 F

749 OH

750 F

751 OH

752 F

753 OH

754 F

755 OH

756 F

757 OH

758 F

759 OH

760 F

761 OH

762 F

763 OH

764 F

765 OH

766 F

767 OH

768 F

769 OH

770 F

771 OH

772 F

773 OH

774 F

775 OH

776 F

777 OH

778 F

779 OH

780 F

781 OH

782 F

783 OH

784 F

785 OH

786 F

787 OH

788 F

789 OH

790 F

791 OH

792 F

793 OH

794 F

795 OH

796 F

797 OH

798 F

799 OH

800 F

801 OH

802 F

803 OH

804 F

805 OH

806 F

807 OH

808 F

809 OH

810 F

811 OH

812 F

813 OH

814 F

815 OH

816 F

817 OH

818 F

819 OH

820 F

Table 5 sets forth compounds of Formula (VI-1) wherein R₂, R_(5a), R_(5b), R₆, and B are delineated for each example in Table 5.

TABLE 5 (VI-1)

Example # R₆ R_(5a) R_(5b) R₂ B 821 i-Pr H H OH

822 i-Pr H H F

823 i-Pr H Me OH

824 i-Pr H Me F

825 i-Pr Me H OH

826 i-Pr Me H F

827 i-Pr H H OH

828 i-Pr H H F

829 i-Pr H Me OH

830 i-Pr H Me F

831 i-Pr Me H OH

832 i-Pr Me H F

833 i-Pr H H OH

834 i-Pr H H F

835 i-Pr H Me OH

836 i-Pr H Me F

837 i-Pr Me H OH

838 i-Pr Me H F

839 i-Pr H H OH

840 i-Pr H H F

841 i-Pr H Me OH

842 i-Pr H Me F

843 i-Pr Me H OH

844 i-Pr Me H F

845 i-Pr H H OH

846 i-Pr H H F

847 i-Pr H Me OH

848 i-Pr H Me F

849 i-Pr Me H OH

850 i-Pr Me H F

851 i-Pr H H OH

852 i-Pr H H F

853 i-Pr H Me OH

854 i-Pr H Me F

855 i-Pr Me H OH

856 i-Pr Me H F

857 i-Pr H H OH

858 i-Pr H H F

859 i-Pr H Me OH

860 i-Pr H Me F

861 i-Pr Me H OH

862 i-Pr Me H F

863 i-Pr H H OH

864 i-Pr H H F

865 i-Pr Me Me OH

866 i-Pr H Me F

867 i-Pr H Me OH

868 i-Pr Me H F

869 i-Pr H H OH

870 i-Pr H H F

871 i-Pr H Me OH

872 i-Pr H Me F

873 i-Pr Me H OH

874 i-Pr Me H F

875 i-Pr H H OH

876 i-Pr H H F

877 i-Pr H Me OH

878 i-Pr H Me F

879 i-Pr Me H OH

880 i-Pr Me H F

881 Et H H OH

882 Et H H F

883 Et H Me OH

884 Et H Me F

885 Et Me H OH

886 Et Me H F

887 Et H H OH

888 Et H H F

889 Et H Me OH

890 Et H Me F

891 Et Me H OH

892 Et Me H F

893 Et H H OH

894 Et H H F

895 Et H Me OH

896 Et H Me F

897 Et Me H OH

898 Et Me H F

899 Et H H OH

900 Et H H F

901 Et H Me OH

902 Et H Me F

903 Et Me H OH

904 Et Me H F

905 Et H H OH

906 Et H H F

907 Et H Me OH

908 Et H Me F

909 Et Me H OH

910 Et Me H F

911 Et H H OH

912 Et H H F

913 Et H Me OH

914 Et H Me F

915 Et Me H OH

916 Et Me H F

917 Et H H OH

918 Et H H F

919 Et H Me OH

920 Et H Me F

921 Et Me H OH

922 Et Me H F

923 Et H H OH

924 Et H H F

925 Et H Me OH

926 Et H Me F

927 Et Me H OH

928 Et Me H F

929 Et H H OH

930 Et H H F

931 Et H Me OH

932 Et H Me F

933 Et Me H OH

934 Et Me H F

935 Et H H OH

936 Et H H F

937 Et H Me OH

938 Et H Me F

939 Et Me H OH

940 Et Me H F

In one embodiment of the invention, the 2′-chloroacetylenyl-substituted nucleoside derivatives of the invention are the isolated β-D or β-L isomer. In another embodiment of the invention, the nucleoside derivative is in an enantiomeric mixture in which the desired enantiomer is at least 95%, 98% or 99% free of its enantiomer. In a preferred embodiment, the nucleoside derivatives are enantiomerically enriched.

In one embodiment of the present invention, the compounds of the formula (I) are in the β-D configuration. In an alternate embodiment of the present invention, the compounds of formula (I) are in the β-L configuration.

The nucleoside derivatives depicted above are in the β-D configuration, however, it should be understood that the nucleoside derivatives can be either in the β-L or β-D configuration.

The nucleoside derivatives of the present invention are biologically active molecules that are useful in the treatment or prophylaxis of viral infections, and in particular human immunodeficiency virus (HIV) and/or hepatitis B virus (HBV) infection. The compounds are also useful for the treatment of abnormal cellular proliferation, including tumors and cancer. In another embodiment of the present invention, any of the active compounds are useful in the treatment of HCV. One can easily determine the spectrum of activity by evaluating the compound in the assays described herein or with another confirmatory assay.

For instance, in one embodiment the efficacy of the antiviral compound is measured according to the concentration of compound necessary to reduce the plaque number of the virus in vitro, according to methods set forth more particularly herein, by 50% (i.e. the compound's EC₅₀). In preferred embodiments the compound exhibits an EC₅₀ of less than 15 or preferably, less than 10 micromolar in vitro.

In another embodiment, for the treatment or prophylaxis of a viral infection, and in particular an HIV, HCV or HBV infection, in a host, the active compound or its derivative or salt can be administered in combination or alternation with another antiviral agent, such as an anti-HIV agent or anti-hepatitis agent, including those of the formula above. Alternatively, for the treatment of abnormal cellular proliferation, such as tumors and cancer, in a host, the active compound or its derivative or salt can be administered in combination or alternation with another antiproliferative agent, such as an anti-neoplastic agent, including those of the formula above. In general, in combination therapy, effective dosages of two or more agents are administered together, whereas during alternation therapy, an effective dosage of each agent is administered serially. The dosages will depend on absorption, inactivation and excretion rates of the drug as well as other factors known to those skilled in the art. It is to be noted that dosage values will also vary with the severity of the condition to be alleviated. It is to be further understood that for any particular subject, specific dosage regimens and schedules should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the compositions.

The compounds of the present invention can also be used to treat equine infectious anemia virus (EIAV), feline immunodeficiency virus, and simian immunodeficiency virus. (Wang, S., et al, “Activity of nucleoside and non-nucleoside reverse transcriptase inhibitors (NNRTI) against equine infectious anemia virus (EIAV). “First National Conference on Human Retroviruses and Related Infections, Washington, D.C., Dec. 12-16, 1993; Sellon D. C., “Equine Infectious Anemia” Vet. Clin. North Am. Equine Pract. United States, 9: 321-336, 1993; Philpott, M. S., et al “Evaluation of 9-(2-phosphonylmethoxyethyl)adenine therapy for feline immunodeficiency virus using a quantitative polymerase chain reaction” Vet. Immunol. Immunopathol. 35:155166, 1992.

The present invention also provides a pharmaceutical composition for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human, comprising a therapeutically effective amount of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a pharmaceutical composition for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human, comprising a therapeutically effective amount of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a pharmaceutical composition for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human, comprising a therapeutically effective amount of an active compound of the present invention, in combination with one or more other effective antiviral agent, and in particular an anti-HBV, anti-HCV or anti-HIV agent, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a pharmaceutical composition for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human, comprising a therapeutically effective amount of an active compound of the present invention, in combination with one or more other effective antinroliferative agent, such as an antineoplastic agent, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a method for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human, comprising administering to the host a therapeutically effective amount of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a method for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human, comprising administering to the host a therapeutically effective amount of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a method for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human, comprising administering to the host a therapeutically effective amount of an active compound of the present invention, in combination and/or alternation with one or more other effective antiviral agent, and in particular an anti-HBV, anti-HCV or anti-HIV agent, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a method for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human, comprising administering to the host a therapeutically effective amount of an active compound of the present invention, in combination and/or alternation with one or more other effective antiproliferative agent, such as an antineoplastic agent, optionally in a pharmaceutically acceptable carrier.

The present invention also provides a use of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier, for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human.

The present invention also provides a use of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier, for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human.

The present invention also provides a use of an active compound of the present invention, in combination and/or alternation with one or more other effective antiviral agent, and in particular an anti-HBV, anti-HCV or anti-HIV agent, optionally in a pharmaceutically acceptable carrier, for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human.

The present invention also provides a use of an active compound of the present invention, in combination and/or alternation with one or more other effective antiproliferative agent, such as an antineoplastic agent, optionally in a pharmaceutically acceptable carrier, for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human.

The present invention also provides a use of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier, in the manufacture of a medicament for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human.

The present invention also provides the use of an active compound of the present invention, optionally in a pharmaceutically acceptable carrier, in the manufacture of a medicament for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human.

The present invention also provides the use of an active compound of the present invention, in combination and/or alternation with one or more other effective antiviral agent, and in particular an anti-HBV, anti-HCV or anti-HIV agent, optionally in a pharmaceutically acceptable carrier, in the manufacture of a medicament for the treatment and/or prophylaxis of a viral infection, and in particular a HBV, HCV or HIV infection, in a host, preferably a human.

The present invention also provides the use of an active compound of the present invention, in combination and/or alternation with one or more other effective antiproliferative agent, such as an antineoplastic agent, optionally in a pharmaceutically acceptable carrier, in the manufacture of a medicament for the treatment and/or prophylaxis of an abnormal cellular proliferation, such as tumors and cancer, in a host, preferably a human.

The invention also provides synthetic methods useful for preparing the compounds of the invention, as well as intermediates disclosed herein that are useful in the preparation of the compounds of the present invention.

The invention as disclosed herein is method and composition for the treatment of HIV, hepatitis B or C, or abnormal cellular proliferation, in humans or other host animals, that includes administering a therapeutically effective amount of a β-D- or β-L-nucleoside derivatives, a pharmaceutically acceptable derivative, including a compound which has been alkylated or acylated on sugar or phosphonate moiety, or on the purine or pyrimidine, or a pharmaceutically acceptable salt thereof, optionally in a pharmaceutically acceptable carrier. The compounds of this invention either possess antiviral (i.e., anti-HIV-1, anti-HIV-2, anti-hepatitis B/C virus) activity or antiproliferative activity, or are metabolized to a compound that exhibits such activity. The invention as disclosed herein also includes the process for the preparation of such β-D- or β-L-nucleoside derivatives.

Stereoisomerism and Polymorphism

The compounds of the present invention may have asymmetric centers and occur as racemates, racemic mixtures, individual diastereomers or enantiomers, with all isomeric forms being included in the present invention. Compounds of the present invention having a chiral center may exist in and be isolated in optically active and racemic forms. Some compounds may exhibit polymorphism. The present invention encompasses racemic, optically-active, polymorphic, or stereoisomeric form, or mixtures thereof, of a compound of the invention, which possess the useful properties described herein. Optically active forms of the compounds can be prepared using any method known in the art, including but not limited to by resolution of the racemic form by recrystallization techniques, by synthesis from optically-active starting materials; by chiral synthesis, or by chromatographic separation using a chiral stationary phase or by enzymatic resolution.

DEFINITIONS

Listed below are definitions of various terms used to describe this invention. These definitions apply to the terms as they are used throughout this specification and claims, unless otherwise limited in specific instances, either individually or as part of a larger group.

The term “aryl,” as used herein, refers to a mono- or polycyclic carbocyclic ring system containing at least one aromatic ring, including, but not limited to, phenyl, naphthyl, tetrahydronaphthyl, indanyl, and indenyl.

The term “heteroaryl,” as used herein, refers to a mono- or polycyclic aromatic radical having one or more ring atom selected from S, O and N; and the remaining ring atoms are carbons, wherein any N or S contained within the ring may be optionally oxidized. Heteroaryl includes, but is not limited to, pyridinyl, pyrazinyl, pyrimidinyl, pyrrolyl, pyrazolyl, imidazolyl, thiazolyl, oxazolyl, isooxazolyl, thiadiazolyl, oxadiazolyl, thiophenyl, furanyl, quinolinyl, isoquinolinyl, benzimidazolyl, benzooxazolyl, quinoxalinyl.

In accordance with the invention, any of the aryls, substituted aryls, heteroaryls and substituted heteroaryls described herein, can be any aromatic group. Aromatic groups can be substituted or unsubstituted.

The terms “C₁-C₈ alkyl,” or “C₁-C₁₂ alkyl,” as used herein, refer to saturated, straight- or branched-chain hydrocarbon radicals containing between one and eight, or one and twelve carbon atoms, respectively. Examples of C₁-C₈ alkyl radicals include, but are not limited to, methyl, ethyl, propyl, isopropyl, n-butyl, tert-butyl, neopentyl, n-hexyl, heptyl and octyl radicals; and examples of C₁-C₁₂ alkyl radicals include, but are not limited to, ethyl, propyl, isopropyl, n-hexyl, octyl, decyl, dodecyl radicals.

The term “C₂-C₈ alkenyl,” or “C₂-C₂₀ alkenyl,” as used herein, refer to straight- or branched-chain hydrocarbon radicals containing from two to eight carbon atoms having at least one carbon-carbon double bond by the removal of a single hydrogen atom. Alkenyl groups include, but are not limited to, for example, ethenyl, propenyl, butenyl, 1-methyl-2-buten-1-yl, heptenyl, octenyl, and the like.

The term “C₂-C₈ alkynyl,” or “C₂-C₂₀ alkynyl,” as used herein, refer to straight- or branched-chain hydrocarbon radicals containing from two to eight carbon atoms having at least one carbon-carbon triple bond by the removal of a single hydrogen atom. Representative alkynyl groups include, but are not limited to, for example, ethynyl, 1-propynyl, 1-butynyl, heptynyl, octynyl, and the like.

The term “C₃-C₈-cycloalkyl”, or “C₃-C₁₂-cycloalkyl,” as used herein, refers to a monocyclic or polycyclic saturated carbocyclic ring compound. Examples of C₃-C₈-cycloalkyl include, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclopentyl and cyclooctyl; and examples of C₃-C₁₂-cycloalkyl include, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, bicyclo[2.2.1]heptyl, and bicyclo[2.2.2]octyl.

The terms “C₂-C₈ alkylene,” or “C₂-C₈ alkenylene,” as used herein, refer to saturated or unsaturated respectively, straight- or branched-chain hydrocarbon di-radicals containing between two and eight carbon atoms, while the diradical may reside at the same or different carbon atoms.

The term “C₃-C₈ cycloalkenyl,” or “C₃-C₁₂ cycloalkenyl” as used herein, refers to monocyclic or polycyclic carbocyclic ring compound having at least one carbon-carbon double bond. Examples of C₃-C₈ cycloalkenyl include, but not limited to, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl, and the like; and examples of C₃-C₁₂ cycloalkenyl include, but not limited to, cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl, and the like.

It is understood that any alkyl, alkenyl, alkynyl and cycloalkyl moiety described herein can also be an aliphatic group, an alicyclic group or a heterocyclic group. An “aliphatic” group is a non-aromatic moiety that may contain any combination of carbon atoms, hydrogen atoms, halogen atoms, oxygen, nitrogen or other atoms, and optionally contain one or more units of unsaturation, e.g., double and/or triple bonds. An aliphatic group may be straight chained, branched or cyclic and preferably contains between about 1 and about 24 carbon atoms, more typically between about 1 and about 12 carbon atoms. In addition to aliphatic hydrocarbon groups, aliphatic groups include, for example, polyalkoxyalkyls, such as polyalkylene glycols, polyamines, and polyimines, for example. Such aliphatic groups may be further substituted.

The term “alicyclic,” as used herein, denotes a monovalent group derived from a monocyclic or bicyclic saturated carbocyclic ring compound by the removal of a single hydrogen atom. Examples include, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, bicyclo[2.2.1]heptyl, and bicyclo[2.2.2]octyl. Such alicyclic groups may be further substituted.

The terms “heterocyclic” or “heterocycloalkyl” can be used interchangeably and referred to a non-aromatic ring or a bi- or tri-cyclic group fused system, where (i) each ring system contains at least one heteroatom independently selected from oxygen, sulfur and nitrogen, (ii) each ring system can be saturated or unsaturated (iii) the nitrogen and sulfur heteroatoms may optionally be oxidized, (iv) the nitrogen heteroatom may optionally be quaternized, (v) any of the above rings may be fused to an aromatic ring, and (vi) the remaining ring atoms are carbon atoms which may be optionally oxo-substituted. Representative heterocyclic groups include, but are not limited to, 1,3-dioxolane, pyrrolidinyl, pyrazolinyl, pyrazolidinyl, imidazolinyl, imidazolidinyl, piperidinyl, piperazinyl, oxazolidinyl, isoxazolidinyl, morpholinyl, thiazolidinyl, isothiazolidinyl, quinoxalinyl, pyridazinonyl, and tetrahydrofuryl. Such heterocyclic groups may be further substituted.

The term “substituted” refers to substitution by independent replacement of one, two, or three or more of the hydrogen atoms thereon with substituents including, but not limited to, —F, —Cl, —Br, —I, —OH, protected hydroxy, —NO₂, —N₃, —CN, —NH₂, protected amino, oxo, thioxo, —NH—C₁-C₁₂-alkyl, —NH—C₂-C₈-alkenyl, —NH—C₂-C₈-alkynyl, —NH—C₃-C₁₂-cycloalkyl, —NH-aryl, —NH-heteroaryl, —NH-heterocycloalkyl, -dialkylamino, -diarylamino, -diheteroarylamino, —O—C₁-C₁₂-alkyl, —O—C₂-C₈-alkenyl, —O—C₂-C₈-alkynyl, —O—C₃-C₁₂-cycloalkyl, —O-aryl, —O-heteroaryl, —O-heterocycloalkyl, —C(O)—C₁-C₁₂-alkyl, —C(O)—C₂-C₈-alkenyl, —C(O)—C₂-C₈-alkynyl, —C(O)—C₃-C₁₂-cycloalkyl, —C(O)-aryl, —C(O)-heteroaryl, —C(O)-heterocycloalkyl, —CONH₂, —CONH—C₁-C₁₂-alkyl, —CONH—C₂-C₈-alkenyl, —CONH—C₂-C₈-alkynyl, —CONH—C₃-C₁₂-cycloalkyl, —CONH-aryl, —CONH-heteroaryl, —CONH-heterocycloalkyl, —OCO₂—C₁-C₁₂-alkyl, —OCO₂—C₂-C₈-alkenyl, —OCO₂—C₂-C₈-alkynyl, —OCO₂—C₃-C₁₂-cycloalkyl, —OCO₂-aryl, —OCO₂-heteroaryl, —OCO₂-heterocycloalkyl, —OCONH₂, —OCONH—C₁-C₁₂-alkyl, —OCONH—C₂-C₈-alkenyl, —OCONH—C₂-C₈-alkynyl, —OCONH—C₃-C₁₂-cycloalkyl, —OCONH-aryl, —OCONH-heteroaryl, —OCONH— heterocycloalkyl, —NHC(O)—C₁-C₁₂-alkyl, —NHC(O)—C₂-C₈-alkenyl, —NHC(O)—C₂-C₈-alkynyl, —NHC(O)—C₃-C₁₂-cycloalkyl, —NHC(O)-aryl, —NHC(O)-heteroaryl, —NHC(O)-heterocycloalkyl, —NHCO₂—C₁-C₁₂-alkyl, —NHCO₂—C₂-C₈-alkenyl, —NHCO₂—C₂-C₈-alkynyl, —NHCO₂—C₃-C₁₂-cycloalkyl, —NHCO₂-aryl, —NHCO₂-heteroaryl, —NHCO₂— heterocycloalkyl, —NHC(O)NH₂, —NHC(O)NH—C₁-C₁₂-alkyl, —NHC(O)NH—C₂-C₈-alkenyl, —NHC(O)NH—C₂-C₈-alkynyl, —NHC(O)NH—C₃-C₁₂-cycloalkyl, —NHC(O)NH-aryl, —NHC(O)NH-heteroaryl, —NHC(O)NH-heterocycloalkyl, NHC(S)NH₂, —NHC(S)NH—C₁-C₁₂-alkyl, —NHC(S)NH—C₂-C₈-alkenyl, —NHC(S)NH—C₂-C₈-alkynyl, —NHC(S)NH—C₃-C₁₂-cycloalkyl, —NHC(S)NH-aryl, —NHC(S)NH-heteroaryl, —NHC(S)NH-heterocycloalkyl, —NHC(NH)NH₂, —NHC(NH)NH—C₁-C₁₂-alkyl, —NHC(NH)NH—C₂-C₈-alkenyl, —NHC(NH)NH—C₂-C₈-alkynyl, —NHC(NH)NH—C₃-C₁₂-cycloalkyl, —NHC(NH)NH-aryl, —NHC(NH)NH-heteroaryl, —NHC(NH)NH-heterocycloalkyl, —NHC(NH)—C₁-C₁₂-alkyl, —NHC(NH)—C₂-C₈-alkenyl, —NHC(NH)—C₂-C₈-alkynyl, —NHC(NH)—C₃-C₁₂-cycloalkyl, —NHC(NH)-aryl, —NHC(NH)-heteroaryl, —NHC(NH)-heterocycloalkyl, —C(NH)NH—C₁-C₁₂-alkyl, —C(NH)NH—C₂-C₈-alkenyl, —C(NH)NH—C₂-C₈-alkynyl, —C(NH)NH—C₃-C₁₂-cycloalkyl, —C(NH)NH-aryl, —C(NH)NH-heteroaryl, —C(NH)NH-heterocycloalkyl, —S(O)—C₁-C₁₂-alkyl, —S(O)—C₂-C₈-alkenyl, —S(O)—C₂-C₈-alkynyl, —S(O)—C₃-C₁₂-cycloalkyl, —S(O)-aryl, —S(O)-heteroaryl, —S(O)-heterocycloalkyl —SO₂NH₂, —SO₂NH—C₁-C₁₂-alkyl, —SO₂NH—C₂-C₈-alkenyl, SO₂NH—C₂-C₈-alkynyl, —SO₂NH—C₃-C₁₂-cycloalkyl, —SO₂NH-aryl, —SO₂NH-heteroaryl, —SO₂NH— heterocycloalkyl, —NHSO₂—C₁-C₁₂-alkyl, —NHSO₂—C₂-C₈-alkenyl, —NHSO₂—C₂-C₈-alkynyl, —NHSO₂—C₃-C₁₂-cycloalkyl, —NHSO₂-aryl, —NHSO₂-heteroaryl, —NHSO₂-heterocycloalkyl, —CH₂NH₂, —CH₂SO₂CH₃, -aryl, -arylalkyl, -heteroaryl, -heteroarylalkyl, -heterocycloalkyl, —C₃-C₁₂-cycloalkyl, polyalkoxyalkyl, polyalkoxy, -methoxymethoxy, -methoxyethoxy, —SH, —S—C₁-C₁₂-alkyl, —S—C₂-C₈-alkenyl, —S—C₂-C₈-alkynyl, —S—C₃-C₁₂-cycloalkyl, —S-aryl, —S-heteroaryl, —S-heterocycloalkyl, or methylthiomethyl. It is understood that the aryls, heteroaryls, alkyls, and the like can be further substituted.

The term “halogen,” as used herein, refers to an atom selected from fluorine, chlorine, bromine and iodine.

The term “hydroxy activating group”, as used herein, refers to a labile chemical moiety which is known in the art to activate a hydroxyl group so that it will depart during synthetic procedures such as in a substitution or in an elimination reactions. Examples of hydroxyl activating group include, but not limited to, mesylate, tosylate, triflate, p-nitrobenzoate, phosphonate and the like.

The term “activated hydroxy”, as used herein, refers to a hydroxy group activated with a hydroxyl activating group, as defined above, including mesylate, tosylate, triflate, p-nitrobenzoate, phosphonate groups, for example.

The term “hydroxy protecting group” or “thiol protecting group,” as used herein, refers to a labile chemical moiety which is known in the art to protect a hydroxyl group or thiol against undesired reactions during synthetic procedures. After said synthetic procedure(s) the hydroxy protecting group as described herein may be selectively removed. Hydroxy protecting groups as known in the art are described generally in T. H. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3rd edition, John Wiley & Sons, New York (1999). Examples of hydroxyl protecting groups include benzyloxycarbonyl, 4-nitrobenzyloxycarbonyl, 4-bromobenzyloxycarbonyl, 4-methoxybenzyloxycarbonyl, methoxycarbonyl, tert-butoxycarbonyl, isopropoxycarbonyl, diphenylmethoxycarbonyl, 2,2,2-trichloroethoxycarbonyl, 2-(trimethylsilyl)ethoxycarbonyl, 2-furfuryloxycarbonyl, allyloxycarbonyl, acetyl, formyl, chloroacetyl, trifluoroacetyl, methoxyacetyl, phenoxyacetyl, benzoyl, methyl, t-butyl, 2,2,2-trichloroethyl, 2-trimethylsilyl ethyl, 1,1-dimethyl-2-propenyl, 3-methyl-3-butenyl, allyl, benzyl, para-methoxybenzyldiphenylmethyl, triphenylmethyl (trityl), tetrahydrofuryl, methoxymethyl, methylthiomethyl, benzyloxymethyl, 2,2,2-triehloroethoxymethyl, 2-(trimethylsilyl)ethoxymethyl, methanesulfonyl, para-toluenesulfonyl, trimethylsilyl, triethylsilyl, triisopropylsilyl, and the like. Preferred hydroxyl protecting groups for the present invention are acetyl (Ac or —C(O)CH₃), benzoyl (Bz or —C(O)C₆H₅), and trimethylsilyl (TMS or —Si(CH₃)₃).

The term “protected hydroxy,” as used herein, refers to a hydroxy group protected with a hydroxy protecting group, as defined above, including benzoyl, acetyl, trimethylsilyl, triethylsilyl, methoxymethyl groups, for example.

The term “hydroxy prodrug group”, as used herein, refers to a promoiety group which is known in the art to change the physicochemical, and hence the biological properties of a parent drug in a transient manner by covering or masking the hydroxy group. After said synthetic procedure(s), the hydroxy prodrug group as described herein must be capable of reverting back to hydroxy group in vivo. Hydroxy prodrug groups as known in the art are described generally in Kenneth B. Sloan, Prodrugs, Topical and Ocular Drug Delivery, (Drugs and the Pharmaceutical Sciences; Volume 53), Marcel Dekker, Inc., New York (1992).

The term “amino protecting group,” as used herein, refers to a labile chemical moiety which is known in the art to protect an amino group against undesired reactions during synthetic procedures. After said synthetic procedure(s) the amino protecting group as described herein may be selectively removed. Amino protecting groups as known in the art are described generally in T. H. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3rd edition, John Wiley & Sons, New York (1999). Examples of amino protecting groups include, but are not limited to, t-butoxycarbonyl, 9-fluorenylmethoxycarbonyl, benzyloxycarbonyl, and the like.

The term “leaving group” means a functional group or atom which can be displaced by another functional group or atom in a substitution reaction, such as a nucleophilic substitution reaction. By way of example, representative leaving groups include chloro, bromo and iodo groups; sulfonic ester groups, such as mesylate, tosylate, brosylate, nosylate and the like; and acyloxy groups, such as acetoxy, trifluoroacetoxy and the like.

The term “protected amino,” as used herein, refers to an amino group protected with an amino protecting group as defined above.

The term “aprotic solvent,” as used herein, refers to a solvent that is relatively inert to proton activity, i.e., not acting as a proton-donor. Examples include, but are not limited to, hydrocarbons, such as hexane and toluene, for example, halogenated hydrocarbons, such as, for example, methylene chloride, ethylene chloride, chloroform, and the like, heterocyclic compounds, such as, for example, tetrahydrofuran and N-methylpyrrolidinone, and ethers such as diethyl ether, bis-methoxymethyl ether. Such compounds are well known to those skilled in the art, and it will be obvious to those skilled in the art that individual solvents or mixtures thereof may be preferred for specific compounds and reaction conditions, depending upon such factors as the solubility of reagents, reactivity of reagents and preferred temperature ranges, for example. Further discussions of aprotic solvents may be found in organic chemistry textbooks or in specialized monographs, for example: Organic Solvents Physical Properties and Methods of Purification, 4th ed., edited by John A. Riddick et al., Vol. II, in the Techniques of Chemistry Series, John Wiley & Sons, NY, 1986.

The term “protic solvent’ as used herein, refers to a solvent that tends to provide protons, such as an alcohol, for example, methanol, ethanol, propanol, isopropanol, butanol, t-butanol, and the like. Such solvents are well known to those skilled in the art, and it will be obvious to those skilled in the art that individual solvents or mixtures thereof may be preferred for specific compounds and reaction conditions, depending upon such factors as the solubility of reagents, reactivity of reagents and preferred temperature ranges, for example. Further discussions of protogenic solvents may be found in organic chemistry textbooks or in specialized monographs, for example: Organic Solvents Physical Properties and Methods of Purification, 4th ed., edited by John A. Riddick et al., Vol. II, in the Techniques of Chemistry Series, John Wiley & Sons, NY, 1986.

The term “hydrogen” includes deuterium. In general, the identification of an element embraces the isotopes of the element, as suitable for the preparation a pharmaceutical.

Combinations of substituents and variables envisioned by this invention are only those that result in the formation of stable compounds. The term “stable”, as used herein, refers to compounds which possess stability sufficient to allow manufacture and which maintains the integrity of the compound for a sufficient period of time to be useful for the purposes detailed herein (e.g., therapeutic or prophylactic administration to a subject).

The synthesized compounds can be separated from a reaction mixture and further purified by a method such as column chromatography, high pressure liquid chromatography, or recrystallization. As can be appreciated by the skilled artisan, further methods of synthesizing the compounds of the Formula herein will be evident to those of ordinary skill in the art. Additionally, the various synthetic steps may be performed in an alternate sequence or order to give the desired compounds. Synthetic chemistry transformations and protecting group methodologies (protection and deprotection) useful in synthesizing the compounds described herein are known in the art and include, for example, those such as described in R. Larock, Comprehensive Organic Transformations, 2^(nd) Ed. Wiley-VCH (1999); T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3rd Ed., John Wiley and Sons (1999); L. Fieser and M. Fieser, Fieser and Fieser's Reagents for Organic Synthesis, John Wiley and Sons (1994); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons (1995), and subsequent editions thereof.

The term “subject” as used herein refers to an animal. Preferably the animal is a mammal. More preferably the mammal is a human. A subject also refers to, for example, dogs, cats, horses, cows, pigs, guinea pigs, fish, birds and the like.

The compounds of this invention may be modified by appending appropriate functionalities to enhance selective biological properties. Such modifications are known in the art and may include those which increase biological penetration into a given biological system (e.g., blood, lymphatic system, central nervous system), increase oral availability, increase solubility to allow administration by injection, alter metabolism and alter rate of excretion.

The compounds described herein contain one or more asymmetric centers and thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that may be defined, in terms of absolute stereochemistry, as (R)- or (S)-, or as (D)- or (L)- for amino acids. The present invention is meant to include all such possible isomers, as well as their racemic and optically pure forms. Optical isomers may be prepared from their respective optically active precursors by the procedures described above, or by resolving the racemic mixtures. The resolution can be carried out in the presence of a resolving agent, by chromatography or by repeated crystallization or by some combination of these techniques which are known to those skilled in the art. Further details regarding resolutions can be found in Jacques, et al., Enantiomers, Racemates, and Resolutions (John Wiley & Sons, 1981). When the compounds described herein contain olefinic double bonds, other unsaturation, or other centers of geometric asymmetry, and unless specified otherwise, it is intended that the compounds include both E and Z geometric isomers, or cis- and trans- isomers. Likewise, all tautomeric forms are also intended to be included. Tautomers may be in cyclic or acyclic. The configuration of any carbon-carbon double bond appearing herein is selected for convenience only and is not intended to designate a particular configuration unless the text so states; thus a carbon-carbon double bond or carbon-heteroatom double bond depicted arbitrarily herein as trans may be cis, trans, or a mixture of the two in any proportion.

As used herein, the term “pharmaceutically acceptable salt” refers to those salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge, et al. describes pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 66: 1-19 (1977). The salts can be prepared in situ during the final isolation and purification of the compounds of the invention, or separately by reacting the free base function with a suitable organic acid. Examples of pharmaceutically acceptable salts include, but are not limited to, nontoxic acid addition salts are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid or with organic acids such as acetic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion exchange. Other pharmaceutically acceptable salts include, but are not limited to, adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, picrate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate salts, and the like. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. Further pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxylate, sulfate, phosphate, nitrate, alkyl having from 1 to 6 carbon atoms, sulfonate and aryl sulfonate.

As used herein, the term “pharmaceutically acceptable ester” refers to esters which hydrolyze in vivo and include those that break down readily in the human body to leave the parent compound or a salt thereof. Suitable ester groups include, for example, those derived from pharmaceutically acceptable aliphatic carboxylic acids, particularly alkanoic, alkenoic, cycloalkanoic and alkanedioic acids, in which each alkyl or alkenyl moiety advantageously has not more than 6 carbon atoms. Examples of particular esters include, but are not limited to, formates, acetates, propionates, butyrates, acrylates and ethylsuccinates.

The term “pharmaceutically acceptable prodrugs” as used herein refers to those prodrugs of the compounds of the present invention which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals with undue toxicity, irritation, allergic response, and the like, commensurate with a reasonable benefit/risk ratio, and effective for their intended use, as well as the zwitterionic forms, where possible, of the compounds of the present invention. “Prodrug”, as used herein means a compound which is convertible in vivo by metabolic means (e.g. by hydrolysis) to a compound of the invention. Various forms of prodrugs are known in the art, for example, as discussed in Bundgaard, (ed.), Design of Prodrugs, Elsevier (1985); Widder, et al. (ed.), Methods in Enzymology, vol. 4, Academic Press (1985); Krogsgaard-Larsen, et al., (ed.). “Design and Application of Prodrugs, Textbook of Drug Design and Development, Chapter 5, 113-191 (1991); Bundgaard, et al., Journal of Drug Deliver Reviews, 8:1-38 (1992); Bundgaard, J. of Pharmaceutical Sciences, 77:285 et seq. (1988); Higuchi and Stella (eds.) Prodrugs as Novel Drug Delivery Systems, American Chemical Society (1975); Bernard Testa & Joachim Mayer, “Hydrolysis In Drug And Prodrug Metabolism: Chemistry, Biochemistry And Enzymology,” John Wiley and Sons, Ltd. (2002); and J. Rautio et al, “Prodrugs: design and clinical applications”, Nature Review—Drug Discovery, 7, 255-270 (2008).

The present invention also relates to solvates of the compounds of Formula (I), for example hydrates.

It is to be understood that when a variable appears two or more times in a formula set forth herein, each occurrence of the variable is independently selected from the identities set forth for that variable.

This invention also encompasses pharmaceutical compositions containing, and methods of treating viral infections through administering, pharmaceutically acceptable prodrugs of compounds of the invention. For example, compounds of the invention having free amino, amido, hydroxy or carboxylic groups can be converted into prodrugs. Prodrugs include compounds wherein an amino acid residue, or a polypeptide chain of two or more (e.g., two, three or four) amino acid residues is covalently joined through an amide or ester bond to a free amino, hydroxy or carboxylic acid group of compounds of the invention. The amino acid residues include but are not limited to the 20 naturally occurring amino acids commonly designated by three letter symbols and also includes 4-hydroxyproline, hydroxylysine, demosine, isodemosine, 3-methylhistidine, norvalin, beta-alanine, gamma-aminobutyric acid, citrulline, homocysteine, homoserine, ornithine and methionine sulfone. Additional types of prodrugs are also encompassed. For instance, free carboxyl groups can be derivatized as amides or alkyl esters. Free hydroxy groups may be derivatized using groups including but not limited to hemisuccinates, phosphate esters, dimethylaminoacetates, and phosphoryloxymethyloxycarbonyls, as outlined in Advanced Drug Delivery Reviews, 1996, 19, 115. Carbamate prodrugs of hydroxy and amino groups are also included, as are carbonate prodrugs, sulfonate esters and sulfate esters of hydroxy groups. Derivatization of hydroxy groups as (acyloxy)methyl and (acyloxy)ethyl ethers wherein the acyl group may be an alkyl ester, optionally substituted with groups including but not limited to ether, amine and carboxylic acid functionalities, or where the acyl group is an amino acid ester as described above, are also encompassed. Prodrugs of this type are described in J. Med. Chem. 1996, 39, 10. Free amines can also be derivatized as amides, sulfonamides or phosphonamides. All of these prodrug moieties may incorporate groups including but not limited to ether, amine and carboxylic acid functionalities.

Pharmaceutical Compositions.

The pharmaceutical compositions of the present invention comprise a therapeutically effective amount of a compound of the present invention formulated together with one or more pharmaceutically acceptable carriers or excipients.

As used herein, the term “pharmaceutically acceptable carrier or excipient” means a non-toxic, inert solid, semi-solid or liquid filler, diluent, encapsulating material or formulation auxiliary of any type. Some examples of materials which can serve as pharmaceutically acceptable carriers are sugars such as lactose, glucose and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols such as propylene glycol; esters such as ethyl oleate and ethyl laurate; agar; buffering agents such as magnesium hydroxide and aluminun hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol, and phosphate buffer solutions, as well as other non-toxic compatible lubricants such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, releasing agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the composition, according to the judgment of the formulator.

The pharmaceutical compositions of this invention may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir, preferably by oral administration or administration by injection. The pharmaceutical compositions of this invention may contain any conventional non-toxic pharmaceutically-acceptable carriers, adjuvants or vehicles. In some cases, the pH of the formulation may be adjusted with pharmaceutically acceptable acids, bases or buffers to enhance the stability of the formulated compound or its delivery form. The term parenteral as used herein includes subcutaneous, intracutaneous, intravenous, intramuscular, intraarticular, intraarterial, intrasynovial, intrasternal, intrathecal, intralesional and intracranial injection or infusion techniques.

Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the active compounds, the liquid dosage forms may contain inert diluents commonly used in the art such as, for example, water or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor, and sesame oils), glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof. Besides inert diluents, the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, and perfuming agents.

Injectable preparations, for example, sterile injectable aqueous or oleaginous suspensions, may be formulated according to the known art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U.S.P. and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables.

The injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.

In order to prolong the effect of a drug, it is often desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material with poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution, which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally administered drug form is accomplished by dissolving or suspending the drug in an oil vehicle. Injectable depot forms are made by forming microencapsule matrices of the drug in biodegradable polymers such as polylactide-polyglycolide. Depending upon the ratio of drug to polymer and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions that are compatible with body tissues.

Compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compounds of this invention with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the active compound.

Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the active compound is mixed with at least one inert, pharmaceutically acceptable excipient or carrier such as sodium citrate or dicalcium phosphate and/or: a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, cetyl alcohol and glycerol monostearate, h) absorbents such as kaolin and bentonite clay, and i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof. In the case of capsules, tablets and pills, the dosage form may also comprise buffering agents.

Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like.

The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings and other coatings well known in the pharmaceutical formulating art. They may optionally contain opacifying agents and can also be of a composition that they release the active ingredient(s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner. Examples of embedding compositions that can be used include polymeric substances and waxes.

Dosage forms for topical or transdermal administration of a compound of this invention include ointments, pastes, creams, lotions, gels, powders, solutions, sprays, inhalants or patches. The active component is admixed under sterile conditions with a pharmaceutically acceptable carrier and any needed preservatives or buffers as may be required. Ophthalmic formulation, ear drops, eye ointments, powders and solutions are also contemplated as being within the scope of this invention.

The ointments, pastes, creams and gels may contain, in addition to an active compound of this invention, excipients such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.

Powders and sprays can contain, in addition to the compounds of this invention, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. Sprays can additionally contain customary propellants such as chlorofluorohydrocarbons.

Transdermal patches have the added advantage of providing controlled delivery of a compound to the body. Such dosage forms can be made by dissolving or dispensing the compound in the proper medium. Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate can be controlled by either providing a rate controlling membrane or by dispersing the compound in a polymer matrix or gel.

For pulmonary delivery, a therapeutic composition of the invention is formulated and administered to the patient in solid or liquid particulate form by direct administration e.g., inhalation into the respiratory system. Solid or liquid particulate forms of the active compound prepared for practicing the present invention include particles of respirable size: that is, particles of a size sufficiently small to pass through the mouth and larynx upon inhalation and into the bronchi and alveoli of the lungs. Delivery of aerosolized therapeutics, particularly aerosolized antibiotics, is known in the art (see, for example U.S. Pat. No. 5,767,068 to VanDevanter et al., U.S. Pat. No. 5,508,269 to Smith et al., and WO 98/43,650 by Montgomery, all of which are incorporated herein by reference). A discussion of pulmonary delivery of antibiotics is also found in U.S. Pat. No. 6,014,969, incorporated herein by reference.

According to the methods of treatment of the present invention, viral infections, conditions are treated or prevented in a patient such as a human or another animal by administering to the patient a therapeutically effective amount of a compound of the invention, in such amounts and for such time as is necessary to achieve the desired result.

By a “therapeutically effective amount” of a compound of the invention is meant an amount of the compound which confers a therapeutic effect on the treated subject, at a reasonable benefit/risk ratio applicable to any medical treatment. The therapeutic effect may be objective (i.e., measurable by some test or marker) or subjective (i.e., subject gives an indication of or feels an effect). A therapeutically effective amount of the compound described above may range from about 0.1 mg/Kg to about 500 mg/Kg, preferably from about 1 to about 50 mg/Kg. Effective doses will also vary depending on route of administration, as well as the possibility of co-usage with other agents. It will be understood, however, that the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or contemporaneously with the specific compound employed; and like factors well known in the medical arts.

The total daily dose of the compounds of this invention administered to a human or other animal in single or in divided doses can be in amounts, for example, from 0.01 to 50 mg/kg body weight or more usually from 0.1 to 25 mg/kg body weight. Single dose compositions may contain such amounts or submultiples thereof to make up the daily dose. In general, treatment regimens according to the present invention comprise administration to a patient in need of such treatment from about 10 mg to about 1000 mg of the compound(s) of this invention per day in single or multiple doses.

The compounds of the invention described herein can, for example, be administered by injection, intravenously, intraarterially, subdermally, intraperitoneally, intramuscularly, or subcutaneously; or orally, buccally, nasally, transmucosally, topically, in an ophthalmic preparation, or by inhalation, with a dosage ranging from about 0.1 to about 500 mg/kg of body weight, alternatively dosages between 1 mg and 1000 mg/dose, every 4 to 120 hours, or according to the requirements of the particular drug. The methods herein contemplate administration of a therapeutically effective amount of compound or compound composition to achieve the desired or stated effect. Typically, the pharmaceutical compositions of this invention will be administered from about 1 to about 6 times per day or alternatively, as a continuous infusion. Such administration can be used as a chronic or acute therapy. The amount of active ingredient that may be combined with pharmaceutically exipients or carriers to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. A typical preparation will contain from about 5% to about 95% active compound (w/w). Alternatively, such preparations may contain from about 20% to about 80% active compound.

Lower or higher doses than those recited above may be required. Specific dosage and treatment regimens for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed, the age, body weight, general health status, sex, diet, time of administration, rate of excretion, drug combination, the severity and course of the disease, condition or symptoms, the patient's disposition to the disease, condition or symptoms, and the judgment of the treating physician.

Upon improvement of a patient's condition, a maintenance dose of a compound, composition or combination of this invention may be administered, if necessary. Subsequently, the dosage or frequency of administration, or both, may be reduced, as a function of the symptoms, to a level at which the improved condition is retained when the symptoms have been alleviated to the desired level. Patients may, however, require intermittent treatment on a long-term basis upon any recurrence of disease symptoms.

When the compositions of this invention comprise a combination of a compound of the invention described herein and one or more additional therapeutic or prophylactic agents, both the compound and the additional agent should be present at dosage levels of between about 1 to 100%, and more preferably between about 5 to 95% of the dosage normally administered in a monotherapy regimen. The additional agents may be administered separately, as part of a multiple dose regimen, from the compounds of this invention. Alternatively, those agents may be part of a single dosage form, mixed together with the compounds of this invention in a single composition.

The said “additional therapeutic or prophylactic agents” includes but not limited to, immune therapies (eg. interferon), therapeutic vaccines, antifibrotic agents, anti-inflammatory agents such as corticosteroids or NSAIDs, bronchodilators such as beta-2 adrenergic agonists and xanthines (e.g. theophylline), mucolytic agents, anti-muscarinics, anti-leukotrienes, inhibitors of cell adhesion (e.g. ICAM antagonists), anti-oxidants (eg N-acetylcysteine), cytokine agonists, cytokine antagonists, lung surfactants and/or antimicrobial and anti-viral agents (eg ribavirin and amantidine). The compositions according to the invention may also be used in combination with gene replacement therapy.

Unless otherwise defined, all technical and scientific terms used herein are accorded the meaning commonly known to one of ordinary skill in the art. All publications, patents, published patent applications, and other references mentioned herein are hereby incorporated by reference in their entirety.

Pharmaceutically Acceptable Derivatives

The compound of the present invention can be administered as any derivative that upon administration to the recipient is capable of providing directly or indirectly, the parent compound. Further, the modifications can affect the biological activity of the compound, in some cases increasing the activity over the parent compound. This can easily be assessed by preparing the derivative and testing its antiviral and anti-proliferative activity according to the methods described herein, or other method known to those skilled in the art.

In cases where compounds are suficiently basic or acidic to form stable nontoxic acid or base salts, administration of the compound as a pharmaceutically acceptable salt may be appropriate. Examples of pharmaceutically acceptable salts are organic acid addition salts formed with acids, which form a physiological acceptable anion, for example, tosylate, methanesulfonate, acetate, citrate, malonate, tartarate, succinate, benzoate, ascorbate, α-ketoglutarate and α-glycerophosphate. Suitable inorganic salts may also be formed, including sulfate, nitrate, bicarbonate, and carbonate salts.

Pharmaceutically acceptable salts may be obtained using standard procedures well known in the art, for example by reacting a sufficiently basic compound such as an amine with a suitable acid affording a physiologically acceptable anion. Alkali metal (for example, sodium, potassium or lithium) or alkaline earth metal (for example calcium) salts of carboxylic acids can also be made.

Any of the nucleosides described herein can be administrated as a nucleotide prodrug to increase the activity, bioavailability, stability or otherwise alter the properties of the nucleoside. A number of nucleotide prodrug ligands are known. In general, alkylation, acylation or other lipophilic modification of the mono, di or triphosphate of the nucleoside will increase the stability of the nucleotide. Examples of substituent groups that can replace one or more hydrogens on the phosphate moiety are alkyl, aryl, steroids, carbohydrates, including sugars, 1,2-diacylglycerol and alcohols. Many are described in R. Jones and N. Bischofberger, Antiviral Research, 27 (1995) 1-17. Any of these can be used in combination with the disclosed nucleosides to achieve a desired effect.

The active nucleoside can also be provided as a 5′-phosphoether lipid or a 5′-ether lipid, as disclosed in the following references, which are incorporated by reference herein: Kucera, L. S. et al 1990. “Novel membrane interactive ether lipid analogs that inhibit infectious HIV-1 production and induce defective virus formation.”AIDS Res. Hum. Retro Viruses. 6:491-501; Piantadosi, C., J. et al 1991. “Synthesis and evaluation of novel ether lipid nucleoside conjugates for anti-HIV activity.” J. Med. Chem. 34:1408.1414; Hosteller, K. Y. et al 1992. “Greatly enhanced inhibition of human immunodeficiency virus type 1 replication in CEM and HT4-6C cells by 3′-deoxythymidine diphosphate dimyristoylglycerol, a lipid prodrug of 3′-deoxythymidine.” Antimicrob. Agents Chemother. 36:2025.2029; Hosetler, K. Y., et al 1990. “Synthesis and antiretroviral activity of phospholipid analogs of azidothymidine and other antiviral nucleosides.” J. Biol. Chem. 265:61127.

Nonlimiting examples of U.S. patents that disclose suitable lipophilic substituents that can be covalently incorporated into the nucleoside, preferably at the 5′-OH position of the nucleoside or lipophilic preparations, include U.S. Pat. Nos. 5,149,794 (Sep. 22, 1992, Yatvin et al.); 5,194,654 (Mar. 16, 1993, Hostetler et al.), 5,223,263 (Jun. 29, 1993, Hostetler et al.); 5,256,641 (Oct. 26, 1993, Yatvin et al.); 5,411,947 (May 2, 1995, Hostetler et al.); 5,463,092 (Oct. 31, 1995, Hostetler et al.); 5,543,389 (Aug. 6, 1996, Yatvin et al.); 5,543,390 (Aug. 6, 1996, Yatvin et al.); 5,543,391 (Aug. 6, 1996, Yatvin et al.); and 5,554,728 (Sep. 10, 1996; Basava et al.), all of which are incorporated herein by reference. Foreign patent publications that disclose lipophilic substituents that can be attached to the nucleosides of the present invention, or lipophilic preparations, include WO 89/02733, WO 90/00555, WO 91/16920, WO 91/18914, WO 93/00910, WO 94/26273, WO 96/15132, EP 0 350 287, and WO 91/19721.

Nonlimiting examples of nucleotide prodrugs are described in the following references: J. K. Dickson, Jr. et al, “Orally active squalene synthetase inhibitors: bis((acyloxy)alkyl) prodrugs of the α-phosphonosylfonic acid moiety” J. Med. Chem. 1996, 39, 661-664; T. Kurz, et al, “Synthesis and antimalarial activity of chain substituted pivaloyloxymethyl ester analogues of Fosmidomycin and FR900098” Bioorg. Med. Chem. 2006, 14, 5121-5135; J. E. Starrett, Jr. et al, “Synthesis, oral bioavilability determination, and in vitro evaluation of prodrugs of the antiviral agent 9-[2-(phosphonomethoxy)ethyl]adenine (PMEA)” J. Med. Chem. 1994, 37, 1857-1864; H. T. Serafinowska, et al, “Synthesis and in vivo evaluation of prodrugs of 9-[2-(phosphonomethoxy)ethoxy]adenine” J. Med. Chem. 1995, 38, 1372-1379; S. Benzaria, et al, “Synthesis, in vitro antiviral evaluation, and stability studies of bis(S-acyl-2-thioethyl) ester derivatives of 9-[2-(phosphonomethoxy)ethyl]adenine (PMEA) as potential PMEA prodrugs with improved oral bioavailability” J. Med. Chem. 1996, 39, 4958-4965; M. S. Louie and H. Chapman, “An efficient process for the synthesis of cyclic HPMPC” Nucleosides,Nucleotides Nucleic acid 2001, 20, 1099-1102; J.-R. Choi, et al, “A novel class of phosphonate nucleosides. 9-[(1-phosphonomethoxy)-cyclopropyl)methyl]guanine as a potent and selective anti-HBV agent” J. Med. Chem. 2004, 47, 2864-2869; M. Wu, et al, “Synthesis of 9-[1-(substituted)-3-(phosphonomethoxy)propyl]adenine derivatives as possible antiviral agents” Nucleosides,Nucleotides Nucleic acid. 2005, 24, 1543-1568; X. Fu, et al, “Design and synthesis of novel bis(L-amino acid) ester prodrugs of 9-[2-(phosphonomethoxy)ethyl]adenine (PMEA) with improved anti-HBV activity” Bioorg. Med. Chem. Lett. 2007, 17, 465-470.

Similarly, the 5′-phosphonate can also be provided as various phosphonate prodrug to increase the activity, bioavailability, stability or otherwise alter the properties of the phosphonate. A number of phosphonate prodrug ligands are known. In general, alkylation, acylation or other lipophilic modification of one or more hydroxy on the phosphonate moiety can be used to achieve a desired effect.

Combination and Alternation Therapy for HIV, HBV or HCV

It has been recognized that drug-resistant variants of HIV, HBV and HCV can emerge after prolonged treatment with an antiviral agent. Drug resistance most typically occurs by mutation of a gene that encodes for a protein such as an enzyme used in viral replication, and most typically in the case of HIV, reverse transcriptase, protease, or DNA polymerase, and in the case of HBV, DNA polymerase, or in the case of HCV, RNA polymerase, protease, or helicase. Recently, it has been demonstrated that the efficacy of a drug against HIV infection can be prolonged, augmented, or restored by administering the compound in combination or alternation with a second, and perhaps third, antiviral compound that induces a different mutation from that caused by the principle drug. Alternatively, the pharmacokinetics, biodistribution, or other parameter of the drug can be altered by such combination or alternation therapy. In general, combination therapy is typically preferred over alternation therapy because it induces multiple simultaneous stresses on the virus.

The second antiviral agent for the treatment of HIV, in one embodiment, can be a reverse transcriptase inhibitor (a “RTI”), which can be either a synthetic nucleoside (a “NRTI”) or a non-nucleoside compound (a “NNRTI”). In an alternative embodiment, in the case of HIV, the second (or third) antiviral agent can be a protease inhibitor. In other embodiments, the second (or third) compound can be a pyrophosphate analog, or a fusion binding inhibitor. A list compiling resistance data collected in vitro and in vivo for a number of antiviral compounds is found in Schinazi, et al, Mutations in retroviral genes associated with drug resistance, International Antiviral News, 1997.

Preferred compounds for combination or alternation therapy for the treatment of HBV include 3TC, FTC, L-FMAU, interferon, adefovir dipivoxil, entecavir, telbivudine (L-dT), valtorcitabine (3′-valinyl L-dC), γ-D-dioxolanyl-guanine (DXG), β-D-dioxolanyl-2,6-diaminopurine (DAPD), and β-D-dioxolanyl-6-chloropurine (ACP), famciclovir, penciclovir, lobucavir, ganciclovir, and ribavirin.

Preferred examples of antiviral agents that can be used in combination or alternation with the compounds disclosed herein for HIV therapy include cis-2-hydroxymethyl-5-(5-fluorocytosin-1-yl)-1,3-oxathiolane (FTC); the (−)-enantiomer of 2-hydroxymethyl-5-(cytosin-1-yl)-1,3-oxathiolane (3TC); ziagen (abacavir), emtriva, viread (tenofovir DF), carbovir, acyclovir, foscarnet, interferon, AZT, DD1, D4T, CS-87 (3′-azido-2′,3′-dideoxyuridine), and β-D-dioxolane nucleosides such as β-D-dioxolanyl-guanine (DXG), β-D-dioxolanyl-2,6-diaminopurine (DAPD), and β-D-dioxolanyl-6-chloropurine (ACP), and integrase inhibitors such as MK-0518.

Preferred protease inhibitors (PIs) include crixivan (indinavir), viracept (nelfinavir), norvir (ritonavir), invirase (saquinavir), aptivus (tipranavir), kaletra, lexiva (fosamprenavir), reyataz (atazanavir) and TMC-114.

Preferred Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) include rescripton (delavirdine), sustiva (efavirenz), viramune (nevirapine) and TMC-125.

Preferred Entry inhibitors include fuzeon (T-20), PRO-542, TNX-355, vicriviroc, aplaviroc and maraviroc.

A more comprehensive list of compounds that can be administered in combination or alternation with any of the disclosed nucleosides include (1S,4R)-4-[2-amino-6-cyclopropylamino)-9H-purin-9-yl]-2-cyclopentene-1-methanol succinate (“1592”, a carbovir analog; GlaxoWellcome); 3TC: (+13-L-2′,3′-dideoxy-3′-thiacytidine (GlaxoWellcome); a-APA R18893: a-nitro-anilino-phenylacetamide; A-77003; C2 symmetry-based protease inhibitor (Abbott); A-75925: C2 symmetry-based protease inhibitor (Abbott); AAP-BHAP: bishetero-arylpiperazine analog (Upjohn); ABT-538: C2-symmetry-based protease inhibitor (Abbott); AzddU: 3′-azido-2′,3′-dideoxyuridine; AZT: 3′-azido-3′-deoxythymidine (GlaxoWellcome); AZT-p-ddI: 3′-azido-3′-deoxythymidilyl-(5′,5)-2′,3′-dideoxyinosinic acid (Ivax); BHAP: bisheteroaryl-piperazine; BILA 1906: N-{1S-[[[3-[2S-{(1,1-dimethylethyl)amino]carbonyl}-4R]-3-pyridinylmethyl)thio]-1-piperidinyl]-2R-hydroxy-1S-(phenylmethyl)-propyl]amino]-carbonyl]-2-methylpropyl}-2-quinolinecarboxamide (Bio Mega/Boehringer-Ingelheim); BILA 2185: N-(1,1-dimethylethyl)-1-[2S-[[2-2,6-dimethyphenoxy)-1-xoethyl]amino]-2R-hydroxy-4-phenylbutyl]-4R-pyridinylthio)-2-piperidinecarboxamide (BioMega/Boehringer-Ingelheim); BMS186,318: aminodiol derivative HIV-1 protease inhibitor (Bristol-Myers-Squibb); d4API: 9-[2,5-d]hydro-5-(phosphonomethoxy)-2-furanyladenine (Gilead); d4C: 2′,3′-didehydro-2′,3′-dideoxycytidined; d4T: 2′,3′-didehydro-3′-deoxythymidine (Bristol-Myers-Squibb); ddC; 2′,3′-dideoxycytidine (Roche); ddI: 2′,3′-dideoxyinosine (Bristol-Myers-Squibb); DMP-266: a 1,4-dihydro-2H-3,1-benzoxazin-2-one; DMP-450: {[4R-(4-a,5-a,6-b,7-b)]-hexahydro-5,6-bis(hydroxy)-1,3-bis(3-amino)phenyl]-methyl)-4,7-bis-(phenylmethyl)-2H-1,3-diazepin-2-one}-bismesylate (Gilead); DXG: (−)-β-D-dioxolane-guanosine (Gilead); EBU-dM: 5-ethyl-1-ethoxymethyl-6-(3,5-dimethylbenzyl)-uracil; E-EBU: 5-ethyl-1-ethoxymethyl-6-benzyluracil; DS: dextran sulfate; E-EPSeU: 1-(ethoxymethyl)-(6-phenylselenyl)-5-ethyluracil; E-EPU: 1-(ethoxymethyl)-(6-phenylthio)-5-ethyluracil; FTC: β-2′,3′-dideoxy-5-fluoro-3′-thiacytidine (Gilead); HBY097: S-4-isopropoxycarbonyl-6-methoxy-3-(methylthio-methyl)-3,4-dihydroquinoxalin-2(1H)-thione; HEPT: 1-[(2-hydroxyethoxy)methyl]-6-(phenylthio)thymine; HIV-1: human immunodeficiency virus type 1; JM2763: 1,1′-(1,3-propanediyl)-bis-1,4,8,11-tetraaza-cyclotetradecane (Johnson Matthey); JM3100:1,1′-[1,4-phenylenebis-(methylene)]-bis-1,4,8,11-tetraazacyclotetradecane (Johnson Matthey); KNI-272: (2S,3S)-3-amino-2-hydroxy-4-phenylbutyric acid-containing tripeptide; L-697,593; 5-ethyl-6-methyl-3-(2-phthalimido-ethyl)pyridin-2(1H)-one; L-735,524: hydroxy-amino-pentane amide HIV-1 protease inhibitor (Merck); L-697,661: 3-{[(4,7-dichloro-1,3-benzoxazol-2-yl)methyl]amino}-5-ethyl-6-methylpyridin-2(1H)-one; L-FDDC: 0-O-L-5-fluoro-2′,3′-dideoxycytidine; L-FDOC: (−)-β-L-5-fluoro-dioxolane cytosine; MKC442: 6-benzyl-1-ethoxymethyl-5-isopropyluracil (1-EBU; Mitsubishi); Nevirapine: 11-cyclopropyl-5,11-dihydro-4-methyl-6H-dipyridol-[3,2-b:2′,3′-e]-diazepin-6-one (Boehringer-Ingelheim); NSC648400:1-benzyloxymethyl-5-ethyl-6-(alpha-pyridylthio)uracil (E-BPTU); P9941: [2-pyridylacetyl-IlePheAla-y(CHOH)]₂ (Dupont Merck); PFA: phosphonoformate (foscarnet; Astra); PMEA: 9-(2-phosphonylmethoxyethyl)adenine (Gilead); PMPA: (R)-9-(2-phosphonylmethoxypropyl)adenine (Gilead); Ro 31-8959: hydroxyethylamine derivative HIV-1 protease inhibitor (Roche); RPI-312: peptidyl protease inhibitor, 1-[(3S)-3-(n-alpha-benzyloxycarbonyl)-1-asparginyl)-amino-2-hydroxy-4-phenylbutyryl]-n-tert-1-proline amide; 2720: 6-chloro-3,3-dimethyl-4-(isopropenyloxycarbonyl)-3,4-dihydro-quinoxalin-2-(1H)-thione; SC-52151: hydroxy-ethylurea isostere protease inhibitor (Searle); SC-55389A: hydroxyethyl-urea isostere protease inhibitor (Searle); TIBO R82150: (+)-(5S)-4,5,6,7-tetrahydro-5-methyl-6-(3-methyl-2-butenyl)-imidazo[4,5,1-jk]-[1,4]benzodiazepin-2(1H)-thione (Janssen); TIBO 82913: (+)-(5s)-4,5,6,7,-tetrahydro-9-chloro-5-methyl-6-(3-methyl-2-butenyl)imidazo[4,5,1jk]-[1,4]benzo-diazepin-2(1H)-thione (Janssen); TSAO-m3T: [2′,5′-bis-O-(tert-butyl-dimethylsilyl)-3′-spiro-5′-(4′-amino-1′,2′-oxathiole-2′,2′-dioxide)]-β-D-pento-furanosyl-N-3-methylthymine; U90152: 1-[3-[(1-methylethyl)-amino]-2-pyridinyl]-4-[[5-[(methylsulphonyl)-amino]-1H-indol-2-yl]carbonyl]piperazine; UC: thiocarboxanilide derivatives (Uniroyal); UC-781: N-[4-chloro-3-(3-methyl-2-butenyloxy)phenyl]-2-methyl-3-furancarbothioamide; UC-82: N-[4-chloro-3-(3-methyl-2-butenyloxy)phenyl]-2-methyl-3-thiophenecarbothioamide; VB 11,328: hydroxyethyl-sulphonamide protease inhibitor (Vertex); VX-478: hydroxyethylsulphonamide protease inhibitor (Vertex); XM 323: cyclic urea protease inhibitor (Dupont Merck).

The active compound can also be administered in combination or alternation with ribavarin, interferon, interleukin or a stabilized prodrug of any of them. More broadly described, the compound can be administered in combination or alternation with any of the anti-HCV drugs listed below.

Table of anti-Hepatitis C Compounds in Current Clinical Development Pharmaceutical Drug name Drug category Company PEGASYS Long acting interferon Roche pegylated interferon alfa-2a INFERGEN Long acting interferon InterMune interferon alfacon-1 OMNIFERON Long acting interferon Viragen natural interferon ALBUFERON Long acting interferon Human Genome Sciences REBIF Interferon Ares-Serono interferon beta-la Omega Interferon Interferon BioMedicine Oral Interferon alpha Oral Interferon Amarillo Biosciences Interferon gamma-lb Anti-fibrotic InterMune IP-501 Anti-fibrotic InterMune Merimebodib VX-497 IMPDH inhibitor Vertex (inosine monophosphate dehydrogenase) AMANTADINE Broad Antiviral Agent Endo Labs (Symmetrel) Solvay IDN-6556 Apotosis regulation Idun Pharma. XTL-002 Monclonal Antibody XTL HCV/MF59 Vaccine Chiron CIVACIR Polyclonal Antibody NABI Therapeutic vaccine Innogenetics VIRAMIDINE Nucleoside Analogue ICN ZADAXIN Immunomodulator Sci Clone (thymosin alfa-1) CEPLENE (histamine) Immunomodulator Maxim telaprevir Protease inhibitor Vertex Boceprevir Protease inhibitor Merck ISIS 14803 Antisense Isis Pharmaceutical/Elan IDN-6556 Caspase inhibitor Idun Pharmaceuticals JTK 003 Polymerase Inhibitor AKROS Pharma Tarvacin Anti-Phospholipid Peregrine Therapy HCV-796 Polymerase Inhibitor ViroPharma/Wyeth CH-6 Protease inhibitor Schering ANA971 Isatoribine ANADYS ANA245 Isatoribine ANADYS CPG 10101 (Actilon) Immunomodulator Coley Rituximab (Rituxam) Anti-CD2O Genetech/IDEC Monoclonal Antibody NM283 (Valopicitabine) Polymerase Inhibitor Idenix Pharmaceuticals HepX ™-C Monoclonal Antibody XTL IC41 Therapeutic Vaccine Intercell Medusa Interferon Longer acting interferon Flame1 Technologies E-1 Therapeutic Vaccine Innogenetics Multiferon Long Acting Interferon Viragen BILN 2061 Serine Protease inhibitor Boehringer-Ingelheim TMC435350 Serine Protease inhibitor Tibotec nitazoxanide To be determined Romark R7128/PSI6130 Polymerase Inhibitor Roche/Pharmasset PSI7977 Polymerase Inhibitor Pharmasset PSI938 Polymerase Inhibitor Pharmasset IDX184 Polymerase Inhibitor Idenix R1626 Polymerase inhibitor Roche MK-7009 protease inhibitor Merck ITMN-191 protease inhibitor InterMune Debio 025 Cyclophilin inhibitor Debiopharm SCY-635 Cyclophilin inhibitor Scynexis BMS-790052 NS5A inhibitor Bristol-Myers Squibb BMS-791325 protease inhibitor Bristol-Myers Squibb INX-189 Polymerase Inhibitor Inhibitex

Combination Therapy for the Treatment of Proliferative Conditions

In another embodiment, the compounds, when used as an antiproliferative, can be administered in combination with another compound that increases the effectiveness of the therapy, including but not limited to an antifolate, a 5-fluoropyrimidine (including 5-fluorouracil), a cytidine analogue such as β-L-1,3-dioxolanyl cytidine or β-L-1,3-dioxolanyl 5-fluorocytidine, antimetabolites (including purine antimetabolites, cytarabine, fudarabine, floxuridine, 6-mercaptopurine, methotrexate, and 6-thioguanine), hydroxyurea, mitotic inhibitors (including CPT-11, Etoposide (VP-21), taxol, and vinca alkaloids such as vincristine and vinblastine, an alkylating agent (including but not limited to busulfan, chlorambucil, cyclophosphamide, ifofamide, mechlorethamine, melphalan, and thiotepa), nonclassical alkylating agents, platinum containing compounds, bleomycin, an anti-tumor antibiotic, an anthracycline such as doxorubicin and dannomycin, an anthracenedione, topoisomerase II inhibitors, hormonal agents (including but not limited to corticosteroids (dexamethasone, prednisone, and methylprednisone), androgens such as fluoxymesterone and methyltestosterone, estrogens such as diethylstilbesterol, antiestrogens such as tamoxifen, LHRH analogues such as leuprolide, antiandrogens such as flutamide, aminoglutethimide, megestrol acetate, and medroxyprogesterone), asparaginase, carmustine, lomustine, hexamethyl-melamine, dacarbazine, mitotane, streptozocin, cisplatin, carboplatin, levamasole, and leucovorin. The compounds of the present invention can also be used in combination with enzyme therapy agents and immune system modulators such as an interferon, interleukin, tumor necrosis factor, macrophage colony-stimulating factor and colony stimulating factor.

Although the invention has been described with respect to various preferred embodiments, it is not intended to be limited thereto, but rather those skilled in the art will recognize that variations and modifications may be made therein which are within the spirit of the invention and the scope of the appended claims.

Antiviral Activity

An inhibitory amount or dose of the compounds of the present invention may range from about 0.01 mg/Kg to about 500 mg/Kg, alternatively from about 1 to about 100 mg/Kg. Inhibitory amounts or doses will also vary depending on route of administration, as well as the possibility of co-usage with other agents.

According to the methods of treatment of the present invention, viral infections are treated or prevented in a subject such as a human or lower mammal by administering to the subject an anti-hepatitis C virally effective amount or an inhibitory amount of a compound of the present invention, in such amounts and for such time as is necessary to achieve the desired result. An additional method of the present invention is the treatment of biological samples with an inhibitory amount of a compound of composition of the present invention in such amounts and for such time as is necessary to achieve the desired result.

The term “anti-hepatitis C virally effective amount” of a compound of the invention, as used herein, mean a sufficient amount of the compound so as to decrease the viral load in a biological sample or in a subject (e.g., resulting in at least 10%, preferably at least 50%, more preferably at least 80%, and most preferably at least 90% or 95%, reduction in viral load). As well understood in the medical arts, an anti-hepatitis C virally effective amount of a compound of this invention will be at a reasonable benefit/risk ratio applicable to any medical treatment.

The term “inhibitory amount” of a compound of the present invention means a sufficient amount to decrease the hepatitis C viral load in a biological sample or a subject (e.g., resulting in at least 10%, preferably at least 50%, more preferably at least 80%, and most preferably at least 90% or 95%, reduction in viral load). It is understood that when said inhibitory amount of a compound of the present invention is administered to a subject it will be at a reasonable benefit/risk ratio applicable to any medical treatment as determined by a physician. The term “biological sample(s),” as used herein, means a substance of biological origin intended for administration to a subject. Examples of biological samples include, but are not limited to, blood and components thereof such as plasma, platelets, subpopulations of blood cells and the like; organs such as kidney, liver, heart, lung, and the like; sperm and ova; bone marrow and components thereof; or stem cells. Thus, another embodiment of the present invention is a method of treating a biological sample by contacting said biological sample with an inhibitory amount of a compound or pharmaceutical composition of the present invention.

Upon improvement of a subject's condition, a maintenance dose of a compound, composition or combination of this invention may be administered, if necessary. Subsequently, the dosage or frequency of administration, or both, may be reduced, as a function of the symptoms, to a level at which the improved condition is retained when the symptoms have been alleviated to the desired level, treatment should cease. The subject may, however, require intermittent treatment on a long-term basis upon any recurrence of disease symptoms.

It will be understood, however, that the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific inhibitory dose for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors well known in the medical arts.

The total daily inhibitory dose of the compounds of this invention administered to a subject in single or in divided doses can be in amounts, for example, from 0.01 to 50 mg/kg body weight or more usually from 0.1 to 25 mg/kg body weight. Single dose compositions may contain such amounts or submultiples thereof to make up the daily dose. In general, treatment regimens according to the present invention comprise administration to a patient in need of such treatment from about 10 mg to about 1000 mg of the compound(s) of this invention per day in single or multiple doses.

Unless otherwise defined, all technical and scientific terms used herein are accorded the meaning commonly known to one with ordinary skill in the art. All publications, patents, published patent applications, and other references mentioned herein are hereby incorporated by reference in their entirety.

Antiviral Activity

An inhibitory amount or dose of the compounds of the present invention may range from about 0.01 mg/Kg to about 500 mg/Kg, alternatively from about 1 to about 100 mg/Kg. Inhibitory amounts or doses will also vary depending on route of administration, as well as the possibility of co-usage with other agents.

According to the methods of treatment of the present invention, viral infections are treated or prevented in a subject such as a human or lower mammal by administering to the subject an anti-hepatitis C virally effective amount or an inhibitory amount of a compound of the present invention, in such amounts and for such time as is necessary to achieve the desired result. An additional method of the present invention is the treatment of biological samples with an inhibitory amount of a compound of composition of the present invention in such amounts and for such time as is necessary to achieve the desired result.

The term “anti-hepatitis C virally effective amount” of a compound of the invention, as used herein, mean a sufficient amount of the compound so as to decrease the viral load in a biological sample or in a subject (e.g., resulting in at least 10%, preferably at least 50%, more preferably at least 80%, and most preferably at least 90% or 95%, reduction in viral load). As well understood in the medical arts, an anti-hepatitis C virally effective amount of a compound of this invention will be at a reasonable benefit/risk ratio applicable to any medical treatment.

The term “inhibitory amount” of a compound of the present invention means a sufficient amount to decrease the hepatitis C viral load in a biological sample or a subject (e.g., resulting in at least 10%, preferably at least 50%, more preferably at least 80%, and most preferably at least 90% or 95%, reduction in viral load). It is understood that when said inhibitory amount of a compound of the present invention is administered to a subject it will be at a reasonable benefit/risk ratio applicable to any medical treatment as determined by a physician. The term “biological sample(s),” as used herein, means a substance of biological origin intended for administration to a subject. Examples of biological samples include, but are not limited to, blood and components thereof such as plasma, platelets, subpopulations of blood cells and the like; organs such as kidney, liver, heart, lung, and the like; sperm and ova; bone marrow and components thereof; or stem cells. Thus, another embodiment of the present invention is a method of treating a biological sample by contacting said biological sample with an inhibitory amount of a compound or pharmaceutical composition of the present invention.

Upon improvement of a subject's condition, a maintenance dose of a compound, composition or combination of this invention may be administered, if necessary. Subsequently, the dosage or frequency of administration, or both, may be reduced, as a function of the symptoms, to a level at which the improved condition is retained when the symptoms have been alleviated to the desired level, treatment should cease. The subject may, however, require intermittent treatment on a long-term basis upon any recurrence of disease symptoms.

It will be understood, however, that the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific inhibitory dose for any particular patient will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific compound employed; the specific composition employed; the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors well known in the medical arts.

The total daily inhibitory dose of the compounds of this invention administered to a subject in single or in divided doses can be in amounts, for example, from 0.01 to 50 mg/kg body weight or more usually from 0.1 to 25 mg/kg body weight. Single dose compositions may contain such amounts or submultiples thereof to make up the daily dose. In general, treatment regimens according to the present invention comprise administration to a patient in need of such treatment from about 10 mg to about 1000 mg of the compound(s) of this invention per day in single or multiple doses.

Unless otherwise defined, all technical and scientific terms used herein are accorded the meaning commonly known to one with ordinary skill in the art. All publications, patents, published patent applications, and other references mentioned herein are hereby incorporated by reference in their entirety.

Abbreviations

Abbreviations which may be used in the descriptions of the scheme and the examples that follow are: Ac for acetyl; AcOH for acetic acid; AIBN for azobisisobutyronitrile; BINAP for 2,2′-bis(diphenylphosphino)-1,1′-binaphthyl; Boc₂O for di-tert-butyl-dicarbonate; Boc for t-butoxycarbonyl; Bpoc for 1-methyl-1-(4-biphenylyl)ethyl carbonyl; Bz for benzoyl; Bn for benzyl; BocNHOH for tert-butyl N-hydroxycarbamate; t-BuOK for potassium tert-butoxide; Bu₃SnH for tributyltin hydride; BOP for (benzotriazol-1-yloxy)tris(dimethylamino)phosphonium Hexafluorophosphate; Brine for sodium chloride solution in water; CDI for carbonyldiimidazole; CH₂Cl₂ for dichloromethane; CH₃ for methyl; CH₃CN for acetonitrile; Cs₂CO₃ for cesium carbonate; CuCl for copper (I) chloride; CuI for copper (I) iodide; dba for dibenzylidene acetone; dppb for diphenylphosphino butane; DBU for 1,8-diazabicyclo[5.4.0]undec-7-ene; DCC for N,N′-dicyclohexylcarbodiimide; DEAD for diethylazodicarboxylate; DIAD for diisopropyl azodicarboxylate; DIPEA or (i-Pr)₂EtN for N,N,-diisopropylethyl amine; Dess-Martin periodinane for 1,1,1-tris(acetyloxy)-1,1-dihydro-1,2-benziodoxol-3-(1H)-one; DMAP for 4-dimethylaminopyridine; DME for 1,2-dimethoxyethane; DMF for N,N-dimethylformamide; DMSO for dimethyl sulfoxide; DMT for di(p-methoxyphenyl)phenylmethyl or dimethoxytrityl; DPPA for diphenylphosphoryl azide; EDC for N-(3-dimethylaminopropyl)-N′-ethylcarbodiimide; EDC HCl for N-(3-dimethylaminopropyl)-N′-ethylcarbodiimide hydrochloride; EtOAc for ethyl acetate; EtOH for ethanol; Et₂O for diethyl ether; HATU for O-(7-azabenzotriazol-1-yl)-N,N,N′,N′,-tetramethyluronium Hexafluorophosphate; HCl for hydrogen chloride; HOBT for 1-hydroxybenzotriazole; K₂CO₃ for potassium carbonate; n-BuLi for n-butyl lithium; i-BuLi for i-butyl lithium; t-BuLi for t-butyl lithium; PhLi for phenyl lithium; LDA for lithium diisopropylamide; LiTMP for lithium 2,2,6,6-tetramethylpiperidinate; MeOH for methanol; Mg for magnesium; MOM for methoxymethyl; Ms for mesyl or —SO₂—CH₃; Ms₂O for methanesulfonic anhydride or mesyl-anhydride; NaN(TMS)₂ for sodium bis(trimethylsilyl)amide; NaCl for sodium chloride; NaH for sodium hydride; NaHCO₃ for sodium bicarbonate or sodium hydrogen carbonate; Na₂CO₃ sodium carbonate; NaOH for sodium hydroxide; Na₂SO₄ for sodium sulfate; NaHSO₃ for sodium bisulfite or sodium hydrogen sulfite; Na₂S₂O₃ for sodium thiosulfate; NH₂NH₂ for hydrazine; NH₄HCO₃ for ammonium bicarbonate; NH₄Cl for ammonium chloride; NMMO for N-methylmorpholine N-oxide; NaIO₄ for sodium periodate; Ni for nickel; OH for hydroxyl; OsO₄ for osmium tetroxide; TBAF for tetrabutylammonium fluoride; TEA or Et₃N for triethylamine; TFA for trifluoroacetic acid; THF for tetrahydrofuran; TMEDA for N,N,N′,N′-tetramethylethylenediamine; TPP or PPh₃ for triphenyl-phosphine; Troc for 2,2,2-trichloroethyl carbonyl; Ts for tosyl or —SO₂—C₆H₄—CH₃; Ts₂O for tolylsulfonic anhydride or tosyl-anhydride; TsOH for p-tolylsulfonic acid; Pd for palladium; Ph for phenyl; POPd for dihydrogen dichlorobis(di-tert-butylphosphinito-KP)palladate(II); Pd₂(dba)₃ for tris(dibenzylideneacetone) dipalladium (0); Pd(PPh₃)₄ for tetrakis(triphenylphosphine)palladium (0); PdCl₂(PPh₃)₂ for trans-dichlorobis-(triphenylphosphine)palladium (II); Pt for platinum; Rh for rhodium; Ru for ruthenium; TBS for tert-butyl dimethylsilyl; TMS for trimethylsilyl; or TMSC1 for trimethylsilyl chloride.

Synthetic Methods

The compounds and processes of the present invention will be better understood in connection with the following synthetic schemes that illustrate the methods by which the compounds of the invention may be prepared. These schemes are of illustrative purpose, and are not meant to limit the scope of the invention. Equivalent, similar, or suitable solvents, reagents or reaction conditions may be substituted for those particular solvents, reagents, or reaction conditions described herein without departing from the general scope of the method of synthesis.

The syntheses of various nucleoside analogs have been well documented in the literature, the following reviews are incorporated hereinwith by references: D. M. Huryn and M. Okabe, Chem. Rev. 1992, 92, 1745; K. W. Pankiewicz, Carbohydrate Research, 2000, 327, 87-105; G. Gumina et al, Antiviral Nucleosides: Chiral Synthesis and Chemotherapy, C. K. Chu (Ed.), Elsevier, 2003, pages 1-76 and 77-189; nucleoside analogs used as antimetabolites have been summarized: M. M. Mader and J. R. Henry, Comprehensive Medicinal Chemistry II, Elsevier, 2007, Vol 7, pages 55-79; nucleoside analogs used as antiviral agents have been summarized: Comprehensive Medicinal Chemistry II, Elsevier, 2007, Vol 7, pages 295-327 by E. Littler and X-X Zhou; and pages 338-343 by T. A. Lyle; and pages 398-400 by U. Schmitz et al. The synthesis of each of these individual analog can be found in the literatures cited therein. Nonlimiting examples of process are also incoporated hereinwith by reference: Clark et al, J. Med. Chem. 2005, 48, 5504; Clark et al, Bioorg. Med. Chem. Lett. 2006, 16, 1712; Clark et al, J. Carbohydr. Chem. 2006, 25, 461; Seela et al, Org. Biomol. Chem. 2008, 6, 596; Pan et al, J. Org. Chem. 1999, 94, 4; Shi et al, Bioorg. Med. Chem. 2005, 13, 1641; He et al, J. Org. Chem. 2003, 68, 5519; Gudmundsson et al, J. Med. Chem. 2000, 43, 2473; Jean-Baptiste et al, Synlett 2008, 817; Wilson et al, Synthesis 1995, 1465; Lin et al, J. Med. Chem. 1991, 34, 2607; Matsuda et al, J. Med. Chem. 1991, 34, 812; Robins et al, J. Med. Chem. 1992, 35, 2283; Serafinowski et al, Tetrahedron 1996, 52, 7929; Serafinowski et al, Tetrahedron 2000, 56, 333; Houlton et al, Tetrahedron 1993, 49, 8087; Serafinowski et al, Synthesis 1997, 225; McCarthy et al, Tetrahedron 1996, 52, 45; Schmit, Synlett 1994, 241; Hirota et al, ChemComm 1999, 1827; Babu et al, Org. Biomol. Chem. 2003, 1, 3514; Samano et al, J. Am. Chem. Soc. 1992, 114, 4007; Beard et al, Carbohydrate Res. 1990, 87; Wigerinck et al, J. Med. Chem. 1991, 34, 2383; Ye et al, J. Org. Chem. 2005, 70, 7902; Eldrup et al, J. Med. Chem. 2004, 47, 2283 and 5284; Tang et al, J. Org. Chem. 1999, 64, 747; Jeannot et al, Org. Biomol. Chem. 2003, 1, 2096; Li et al, Org. Lett. 2001, 3, 1025; Marcotte et al, Synthesis 2001, 929; Dai et al, Org. Lett. 2001, 3, 807; Yoshimura et al, Bioorg. Med. Chem. Lett. 1994, 4, 721; Ohtawa et al, J. Med. Chem. 2007, 50, 2007; McGee et al, J. Org. Chem. 1996, 61, 781; Ogamino et al, J. Org. Chem. 2005, 70, 1684; Ichikawa et al, Org. Biomol. Chem. 2006, 4, 1284; Pan et al, J. Org. Chem. 1999, 64, 4; Huang et al, J. Med. Chem. 1991, 34, 1640; Kodama et al, Tetrahedron 2006, 62, 10011; He et al, J. Org. Chem. 2003, 68, 5519; Kumamoto et al, J. Med. Chem. 2006, 49, 7861; and Haraguchi et al, Org. Lett. 2004, 6, 2645.

General procedure to prepare 2′-chloroacetylenyl nucleoside of present invention is depicted in scheme 1. The ketone compound (1-2), herein P₁, P₂ and P₃ are hydroxyl protection group, such as but not limited to, benzoyl, acetyl, TMS, TIPS, was made from 2-hydroxy compound (1-1) according to the modified procedure from the account by Cook, G. P; Greenberg, M. M. J. Org. Chem. 1994, 59, 4704. The addition of chloroacetylene to ketone has also been well described in the patent, U.S. Pat. No. 3,290,297 by Cross, A. D. The ketone compound (1-2) was treated with the intermediate generated from 1,2-dichloroethylene and methyllithium in the presence of metal halides such as, but not limited to, CeCl₃, in aprotic solvent such as diethyl ether, THF, DME, followed by protection of resulting 2′-hydroxy group with P₄, such as but not limited to, benzoyl, acetyl, TMS, TIPS to give the chloroacetylenyl compound (1-3) in good yield.

A more thorough discussion of the procedures, reagents and conditions for protecting hydroxyl group is described in literature, for example, by T. W. Greene and P. G. M. Wuts in “Protective Groups in Organic Synthesis” 3rded., John Wiley & Son, Inc., 1999.

Further glycosylation of the nucleobase (1-3) was accomplished by treatment of the compound (1-3) with the appropriate persilylated nucleobase in the presence of a Lewis acid such as, but not limited to, SnCl₄, TiCl₄, TMSOTf, HgO or HgBr₂ in an aprotic solvent such as, but not limited to, toluene, acetonitrile, benzene, THF, DME, or a mixture of any or all of these solvents. The reaction temperature was from room temperature to 150° C. The optional protecting groups in the protected nucleosides or the compound formula (1-4) can be cleaved following established deprotection methodologies. A more thorough discussion of the procedures, reagents and conditions for deprotection is described in literature, for example, by T. W. Greene and P. G. M. Wuts in “Protective Groups in Organic Synthesis” 3rded., John Wiley & Son, Inc., 1999.

The synthesis of nucleoside 5′-monophosphate prodrugs have also been well documented in the literature, see references cited in accounts by Cahard et al, Mini-Reviews Med. Chem. 2004, 4, 371; Meier et al, Mini-Reviews Med. Chem. 2004, 4, 383; Peyrottes et al, Mini-Reviews Med. Chem. 2004, 4, 395; Drontle et al, Mini-Reviews Med. Chem. 2004, 4, 409; and nonlimiting examples of recent process: Gisch et al, J. Med. Chem. 2007, 50, 1658; Boyer et al, J. Med. Chem. 2006, 49, 7711; Khamnei et al, J. Med. Chem. 1996, 39, 4109; Li et al, Synlett 2004, 2600; Perrone et al, J. Med. Chem. 2007, 50, 5463; Gisch et al, J. Med. Chem. 2007, 50, 1658 and 1840; Hecker et al, J. Med. Chem. 2007, 50, 3891; Prakash et al, J. Med. Chem. 2005, 48, 1199; and Gunic et al, Bioorg. Med. Chem. Lett. 2007, 17, 2452 (for 3′,5′-cyclic monophosphate prodrug).

The synthesis of nucleoside phosphonates and/or their prodrugs have also been well documented in the literature, see references cited in accounts by Hecker et al, J. Med. Chem. 2008, 51, 2328; Krise et al, Adv. Drug Deliv. Rev. 1996, 19, 287; Berkowitz et al, J. Fluorine Chem. 2001, 112, 13; Romanenko et al, Chem. Rev.2006, 106, 3868; De Clercq, Antiviral Res. 2007, 75, 1; De Clercq et al, Nat. Rev.—Drug Disc. 2005, 4, 928; and nonlimiting examples of recent process: Mackman et al, Bioorg. Med. Chem. 2007, 15, 5519; Dang et al, Bioorg. Med. Chem. Lett. 2007, 17, 3412; Meier et al, J. Med. Chem. 2005, 48, 8079; Wu et al, Nucleosides Nucleotides Nuclic Acids 2005, 24, 1543; Choi et al, J. Med. Chem. 2004, 47, 2864; Sekiya et al, J. Med. Chem. 2002, 45, 3138; Louie et al, Nucleosides Nucleotides Nuclic Acids 2001, 20, 1099; Serafinowska et al, J. Med. Chem. 1995, 38, 1372; Koh et al, J. Med. Chem. 2005, 48, 2867; Mackman et al, Bioorg. Med. Chem. 2007, 15, 5519; Wang et al, Nucleosides Nucleotides Nuclic Acids 2004, 23, 317; Dyatkina et al, Tetrahedron 1995, 51, 761; Reddy et al, J. Med. Chem. 2008, 51, 666; Krecmerova et al, J. Med. Chem. 2007, 50, 5765.

It will be appreciated that, with appropriate manipulation and protection of any chemical functionality, synthesis of compounds of Formula (I) is accomplished by methods analogous to those above and to those described in the Experimental section. Suitable protecting groups can be found, but are not restricted to, those found in T W Greene and P G M Wuts “Protective Groups in Organic Synthesis”, 3rd Ed (1999), J Wiley and Sons.

All references cited herein, whether in print, electronic, computer readable storage media or other form, are expressly incorporated by reference in their entirety, including but not limited to, abstracts, articles, journals, publications, texts, treatises, internet web sites, databases, patents, and patent publications.

Example 1

Compound of Formula (I), wherein R₁═R₃═R₅═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

Step 1a:

To a mixture of 1.3.5-tri-O-benzoyl-α-D-ribifuranose (23.58 g, 50.99 mmol) (1) in dry CH₂Cl₂ (250 mL) was portionwise added Dess-Martin periodinane (30.8 g, 72.4 mmol) at 0° C. and stirred for 15 min. Then, it was allowed to warm to room temperature and stirred for 17 hrs. The reaction mixture was evaporated off, triturated with diethyl ether (360 mL) and filtered through a fritted funnel. The filtrate was treated with sodium thiosulfate (10 g) and saturated NaHCO₃ aqueous solution (400 mL) and stirred vigorously for 15 min. It was separated and the aqueous layer was extracted with diethyl ether (100 mL). The combined organic layer was washed with H₂O and brine, dried over Na₂SO₄, filtered and evaporated to dryness. The residue was azeothropically dried with dry CH₂Cl₂, toluene and hexanes successively to give white foam (2) (22.8 g). MS: (ESI-MS) m/z (M+H) 461.12.

Step 1b:

To a mixture of cis-1,2-dichloroethylene (3.8 mL, 50.34 mmol) in dry diethyl ether (80 mL) was dropwise added 1.6M methyllithium in diethyl ether (31.7 mL, 50.66 mmol) at 0° C. and stirred for 10 min. The reaction mixture was allowed to warm to room temperature and stirred for 105 min. Then, it was cooled to −78° C. and transferred to CeCl₃ (dried, 29 g) in dry diethyl ether (pre-cooled at −78° C.) via cannula and stirred at −78° C. for ˜2 hrs before the addition of the product of step 1a (2) (7.29 g, 15.83 mmol) in dry diethyl ether (50 mL). The reaction mixture was stirred at −78° C. for 1 hr and quenched by the addition of saturated NH₄Cl aqueous solution (200 mL), allowed to warm to room temperature, filtered through a pad of celite, washed with saturated NH₄Cl aqueous solution and methyl tert-butyl ether (200 mL) and separated. The aqueous layer was extracted with ethyl acetate (200 mL). The combined organic layer was washed with H₂O and brine, dried over Na₂SO₄, filtered and evaporated to give the chloroacetylene adduct as a white foam (7.625 g), which was directly used for benzoylation without purification. To a mixture of the chloroacetylene adduct (7.62 g, 14.628 mmol), DMAP (1.787 g, 14.628 mmol) and triethylamine (12.23 mL, 87.77 mL) in dry CH₂Cl₂ (150 mL) was added benzoyl chloride (5.09 mL, 43.88 mmol) at 0° C. and stirred for 7 min. Then, it was allowed to warm to room temperature and stirred for 3 hrs. The reaction was quenched by the addition of methanol (10 mL), stirred for 10 min, diluted with CH₂Cl₂ (200 mL), washed with 1M-HCl, saturated NaHCO₃ aqueous solution and brine, successively. The organic layer was dried over Na₂SO₄, filtered and evaporated to dryness. The residue was purified by silica gel column chromatography with 0˜25% ethyl acetate in hexanes to give the compound (3) (7.904 g, α:β=1:3). MS: (ESI) m/z (M+Na) 647.09.

Step 1c:

A mixture of uracil (2.572 g, 22.94 mmol) and N,O-bis(trimethylsilyl)acetamide (11.2 mL, 45.89 mmol) in dry acetonitrile (50 mL) was refluxed for 30 min and cooled to room temperature. The product of step 1b (3) in dry acetonitrile (70 mL) was transferred to previously made bis-silylenolether via cannula. Then, SnCl₄ (5.8 mL, 49.33 mmol) was added to the reaction mixture and refluxed for 5.5 hrs. After cooling to 0° C., the resction mixture was diluted with ethyl acetate (300 mL), slowly treated with cold saturated NaHCO₃ aqueous solution (350 mL), stirred for 20 min and filtered through a pad of celite. The filtrate was separated. The aqueous layer was extracted with ethyl acetate (2×100 mL). The combined organic layer was washed with saturated NaHCO₃ aqueous solution and brine, successively. The organic layer was dried over Na₂SO₄, filtered and evaporated to dryness. The residue was purified by silica gel column chromatography with 0˜60% ethyl acetate in hexanes to give the compound (4) (4.93 g) as a white foam. MS: (ESI) m/z (M+H) 615.04.

Step 1d:

A mixture of the product of step 1c (4) (5.51 g, 8.96 mmol) in 7N ammonia in methanol was stirred at room temperature for 16 hrs and evaporated to dryness. The residue was purified by silica gel column chromatography with 0˜10% MeOH in CH₂Cl₂ to afford the title compound (2.093 g) as a white foam. MS: (ESI) m/z (M+H) 303.02.

Example 2

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

To a mixture of example 1 (25 mg) and phosphochloridate 5a (5 eq.) in dry THF (2˜3 mL) was added 1-methylimidazole (6 eq.) at 0° C., allowed to warm to room temperature and stirred for 15 hrs before the addition of methanol (˜0.2 mL). After evaporation, the residue was passed through a short silica gel column with 0˜6% methanol in CH₂Cl₂. The collected fraction was evaporated and purified HPLC using 15-90% acetonitrile in water as a mobile phase. The combined fraction was evaporated in vacuo and lyophilized to afford the title compound of example 2 as a white solid. MS: (ESI) m/z (M+H) 650.27.

Example 3

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 3 was prepared by reaction the compound of example 1 with compound of (5b) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 594.15.

Example 4

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 4 was prepared by reaction the compound of example 1 with compound of (5c) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 636.24.

Example 5

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 5 was prepared by reaction the compound of example 1 with compound of (5d) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 670.23.

Example 6

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 6 was prepared by reaction the compound of example 1 with compound of (5e) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 650.01.

Example 7

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 7 was prepared by reaction the compound of example 1 with compound of (5f) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 622.27.

Example 8

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 8 was prepared by reaction the compound of example 1 with compound of (5 g) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 648.26.

Example 9

Compound of Formula (I), wherein R₁═R₃═R_(5a)═R_(5b)═R_(4a)═H, R₂═OH, B═

R₅═

The compound of example 9 was prepared by reaction the compound of example 1 with compound of (5h) following the same precedure in the preparation of the compound of example 2. MS: (ESI) m/z (M+H) 662.28.

Biological Activity 1. HCV Replicon Cell Lines

HCV replicon cell lines (kindly provided by R. Bartenschlager) isolated from colonies as described by Lohman et al. (Lohman et al. (1999) Science 285: 110-113, expressly incorporated by reference in its entirety) and used for all experiments. One of the HCV replicon cell lines (strain Conl, genotype 1b) has the nucleic acid sequence set forth in EMBL Accession No.: AJ242651, the coding sequence of which is from nucleotides 1801 to 8406. Another replicon cell line (strain H77, genotype 1a) was constructed as described by Yi et. al. (Yi et. al. (2004) Journal of Virology 78(15):7904-15). The coding sequences of the published HCV replicons were synthesized and subsequently assembled in plasmids using standard molecular biology techniques.

One replicon cell line (“SGR 11-7”) stably expresses HCV replicon RNA, genotype 1b, which consists of (i) the HCV 5′UTR fused to the first 12 amino acids of the capsid protein, (ii) the neomycin phosphotransferase gene (neo), (iii) the IRES from encephalomyocarditis virus (EMCV) and (iv) HCV NS2 to NS5B genes and the HCV 3′UTR. Another replicon cell line (“Huh-1a7”) described by Yi et. al. (Yi et. al. (2004) Journal of Virology 78(15):7904-15, expressly incorporated by reference in its entirety) stably expresses HCV replicon RNA, genotype 1a, which consists of (i) the HCV 5′UTR fused to the first 12 amino acids of the capsid protein, (ii) the HIV tat protein, (iii) the neomycin phosphotransferase gene (neo), (iv) the IRES from encephalomyocarditis virus (EMCV) and (vi) HCV NS3 to NS5B genes that harbor cell culture adaptive mutations (Q1067R, K1691R, S2204I) and the HCV 3′UTR.

These cell lines are maintained at 37° C., 5% CO₂, 100% relative humidity in DMEM (Cat#11965-084, Invitrogen), with 10% fetal calf serum (“FCS”, Invitrogen), 1% non-essential amino acids (Invitrogen), 1% of Glutamax (Invitrogen), 1% of 100X penicillin/streptomycin (Cat#15140-122, Invitrogen) and Geneticin (Cat#10131-027, Invitrogen) at 0.75 mg/ml or 0.25 mg/ml for 11-7 and Huh-1a7 cells, respectively.

2. HCV Replicon Assay—qRT-PCR.

EC₅₀ values of single agent compounds were determined by HCV RNA detection using quantitative RT-PCR, according to the manufacturer's instructions, with a TAQMAN® One-Step RT-PCR Master Mix Reagents Kit (Cat#AB 4309169, Applied Biosystems) on an ABI Model 7500 thermocycler. EC₅₀ values of combinations are similarly determined by HCV RNA detection using quantitative RT-PCR. The TAQMAN primers to use for detecting and quantifying HCV RNA obtained from Integrated DNA Technologies. HCV RNA is normalized to GAPDH RNA levels in drug-treated cells, which is detected and quantified using the Human GAPDH Endogenous Control Mix (Applied Biosystems, AB 4310884E). Total cellular RNA is purified from 96-well plates using the RNAqueous 96 kit (Ambion, Cat#AM1812). Chemical agent cytotoxicity is evaluated using an MTS assay according to the manufacturer's directions (Promega).

The compounds of the present invention can be effective against the HCV 1a and 1b genotypes. It should also be understood that the compounds of the present invention can inhibit multiple genotypes of HCV. In one embodiment, compounds of the present invention are active against the 1a, 1b, 2a, 2b, 3a, 4a, and 5a genotypes. Table 6 shows the EC₅₀ values of representative compounds of the present invention against the HCV 1a and 1b genotypes from the above described qRT-PCR. EC₅₀ ranges against HCV 1a or 1b are as follows: A>1 μM; B 0.1-1 μM; C<0.1 μM.

TABLE 6 Genotype-1a or 1b replicon EC₅₀ Example Structures 1a EC₅₀ 1b EC₅₀ 1

A A 2

B B 3

B B 4

C C 5

B B 6

B B 7

B B 8

B A 9

B B 10

A  A.

While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the invention encompassed by the appended claims. 

What is claimed is:
 1. A compound represented by Formula (I):

or the β-L enantiomer thereof, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof, wherein: R₁ is selected from the group consisting of: 1) hydrogen; 2) —CN; 3) halogen; 4) —N₃; and 5) Substituted or unsubstituted —C₁-C₈ alkyl; R₂ and R_(4a) are independently selected from the group consisting of: 1) halogen; 2) —CN; 3) —N₃; and 4) OR₆; where R₆ is selected from the group consisting of: hydrogen, hydroxy protecting group, —C(O)R₇, —C(O)OR₇, and —C(O)NR_(8a)R_(8b); wherein R₇ is selected from the group consisting of: substituted or unsubstituted —C₁-C₈ alkyl, substituted or unsubstituted —C₂-C₈ alkenyl, substituted or unsubstituted —C₂-C₈ alkynyl, substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heterocyclic; R_(8a) and R_(8b) are each independently selected from the group consisting of: hydrogen and R₇; or alternatively R_(8a) and R_(8b) taken together with the nitrogen atom to which they are attached form a heterocyclic ring; R₃ is R₆; or alternatively R₂ is —OR₆ and R₃ and R₆ together form a group selected from: —C(Me)₂-, —C(CH₂)₄—, —CH(Ph)—, —CH(OMe)— and —P(O)(OH)—; B is selected from the group consisting of: substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, and substituted or unsubstituted heterocyclic; preferably a heterocycle containing at least one nitrogen atom; R_(5a) and R_(5b) are independently selected from the group consisting of: 1) hydrogen; 2) substituted or unsubstituted —C₁-C₈ alkyl; 3) substituted or unsubstituted —C₂-C₈ alkenyl; 4) substituted or unsubstituted —C₂-C₈ alkynyl; 5) or R_(5a) and R_(5b) are taken together with the carbon atom to which they are attached to form a group selected from —C₃-C₈ cycloalkyl, —C₃-C₈ cycloalkenyl, or —C₃-C₈ cycloalkynyl; R₅ is selected from the group consisting of: 1) hydrogen; 2) R₆; 3) —P(O)(OR_(7a))(OR_(7b)); wherein R_(7a) and R_(7b) are each independently selected from the group consisting of a) hydrogen; b) unsubstituted or substituted —C₁-C₈ alkyl; 4) —P(O)(OR_(7a))—O—P(O)(OR_(7b))(OR_(7c)); wherein R_(7a) and R_(7b) are previously defined; R_(7c) is selected from the group consisting of a) hydrogen; b) unsubstituted or substituted —C₁-C₈ alkyl; 5) —P(O)(OR_(7a))—O—P(O)(OR_(7b))—O—P(O)(OR_(7c))(OR_(7d)); wherein R_(7a), R_(7b) and R_(7c) are previously defined; R_(7d) is selected from the group consisting of a) hydrogen; b) unsubstituted or substituted —C₁-C₈ alkyl; 6)

where X is O or S; R₉ is R₇ wherein R₇ is previously defined; R₁₀, R₁₁ and R₁₂ are each independently selected from the group consisting of: a) hydrogen; and b) unsubstituted or substituted —C₁-C₈ alkyl; or R₁₁ is hydrogen, and R₁₂ and R₁₀ taken together with the nitrogen which R₁₀ is attached to form a heterocyclic ring; or R₁₁ and R₁₂ taken together with the carbon which they are attached form a ring; R₁₃ is hydrogen or R₇, wherein R₇ is previously defined; and 7)

where X is O or S; n is 1-4; R_(8a) and R_(8b) are as previously defined; R₁₄ is hydrogen or —(CO)—R₇, wherein R₇ is as previously defined; Or, R₅ and R₃ are taken together to form

where X is O or S; and R₆ is as previously defined.
 2. A compound of claim 1 represented by Formula (II):

or its β-L enantiomer, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof.
 3. A compound of claim 1 represented by Formula (III):

or its β-L enantiomer, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof.
 4. A compound of claim 1 represented by Formula (IV):

or its β-L enantiomer, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof.
 5. A compound of claim 1 represented by Formula (V):

or its β-L enantiomer, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof.
 6. A compound of claim 1 represented by Formula (VI):

or its β-L enantiomer, or a pharmaceutically acceptable salt, ester, stereoisomer, tautomer, solvate, prodrug, or combination thereof.
 7. A compound of claim 1, wherein B at each occurrence is an optionally substituted pyrimidinyl, purinyl group or the like of the general formula of (B1)-(B2):

wherein: Y at each occurrence is independently selected from a group consisting of: O, S, NR_(8a), NC(O)R₇, NC(O)OR₇ and NC(O)NR₈R_(8b); T, U, V and W at each occurrence are each independently N or CR₁₈; wherein R₁₈ is selected from a group consisting of: hydrogen, halogen, —CN, —C(O)R₇, —C(O)NR_(8a)R_(8b), —NO₂, —N₃, —OR₇, —SRS, —NR₈R_(8b), —OC(O)R₇, —OC(O)OR₇, —NHC(O)R₇, —NHC(O)OR₇ and —NHC(O)NR_(8a)R_(8b), substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, substituted or unsubstituted heterocyclic, substituted or unsubstituted —C₁-C₈ alkyl, substituted or unsubstituted —C₂-C₈ alkenyl, substituted or unsubstituted —C₂-C₈ alkynyl; R₁₅, R₁₆ and R₁₇ at each occurrence are each independently selected from a group consisting of: hydrogen, halogen, —CN, —C(O)R₇, —C(O)NR_(8a)R_(8b), —NO₂, —N₃, —OR₇, —SR₇, —NR_(8a)R_(8b), —OC(O)R₇, —OC(O)OR₇, —NHC(O)R₇, —NHC(O)OR₇ and —NHC(O)NR_(8a)R_(8b), substituted or unsubstituted aryl, substituted or unsubstituted heteroaryl, substituted or unsubstituted heterocyclic, substituted or unsubstituted —C₁-C₈ alkyl, substituted or unsubstituted —C₂-C₈ alkenyl, substituted or unsubstituted —C₂-C₈ alkynyl.
 8. A compound according to claim 1 as set forth in any of Tables 1˜Table 5 which is selected from: Compounds of Formula (II-1) wherein R₂, R_(4a), R_(5a), R_(5b), and B are delineated for each example in Table 1 TABLE 1 (II-1)

Example # R_(5a) R_(5b) R_(4a) R₂ B 1 H H H OH

2 H H H F

3 H H N₃ OH

4 H H N₃ F

5 H Me H OH

6 H Me H F

7 Me H H OH

8 Me H H F

9 H H H OH

10 H H H F

11 H H N₃ OH

12 H H N₃ F

13 H Me H OH

14 H Me H F

15 Me H H OH

16 Me H H F

17 H H H OH

18 H H H F

19 H H N₃ OH

20 H H N₃ F

21 H Me H OH

22 H Me H F

23 Me H H OH

24 Me H H F

25 H H H OH

26 H H H F

27 H H N₃ OH

28 H H N₃ F

29 H Me H OH

30 H Me H F

31 Me H H OH

32 Me H H F

33 H H H OH

34 H H H F

35 H H N₃ OH

36 H H N₃ F

37 H Me H OH

38 H Me H F

39 Me H H OH

40 Me H H F

41 H H H OH

42 H H H F

43 H H N₃ OH

44 H H N₃ F

45 H Me H OH

46 H Me H F

47 Me H H OH

48 Me H H F

49 H H H OH

50 H H H F

51 H H N₃ OH

52 H H N₃ F

53 H Me H OH

54 H Me H F

55 Me H H OH

56 Me H H F

57 H H H OH

58 H H H F

59 H H N₃ OH

60 H H N₃ F

61 H Me H OH

62 H Me H F

63 Me H H OH

64 Me H H F

65 H H H OH

66 H H H F

67 H H N₃ OH

68 H H N₃ F

69 H Me H OH

70 H Me H F

71 Me H H OH

72 Me H H F

73 H H H OH

74 H H H F

75 H H N₃ OH

76 H H N₃ F

77 H Me H OH

78 H Me H F

79 Me H H OH

80 Me H H F

compounds of Formula (III-1) wherein R₂, R₇, R_(5a), R_(5b), and B are delineated for each example in Table 2 TABLE 2 (III-1)

Example# R_(5a) R_(5b) R₂ R₇ B  81 H H OH i-Pr

 82 H H F i-Pr

 83 H Me OH i-Pr

 84 H Me F i-Pr

 85 Me H OH i-Pr

 86 Me H F i-Pr

 87 H H OH i-Pr

 88 H H F i-Pr

 89 H Me OH i-Pr

 90 H Me F i-Pr

 91 Me H OH i-Pr

 92 Me H F i-Pr

 93 H H OH i-Pr

 94 H H F i-Pr

 95 H Me OH i-Pr

 96 H Me F i-Pr

 97 Me H OH i-Pr

 98 Me H F i-Pr

 99 H H OH i-Pr

100 H H F i-Pr

101 H Me OH i-Pr

101a H Me F i-Pr

102 Me H OH i-Pr

103 Me H F i-Pr

104 H H OH i-Pr

105 H H F i-Pr

106 H Me OH i-Pr

107 H Me F i-Pr

108 Me H OH i-Pr

109 Me H F i-Pr

110 H H OH i-Pr

111 H H F i-Pr

112 H Me OH i-Pr

113 H Me F i-Pr

114 Me H OH i-Pr

115 Me H F i-Pr

116 H H OH i-Pr

117 H H F i-Pr

118 H Me OH i-Pr

119 H Me F i-Pr

120 Me H OH i-Pr

121 Me H F i-Pr

122 H H OH i-Pr

123 H H F i-Pr

124 H Me OH i-Pr

125 H Me F i-Pr

126 Me H OH i-Pr

127 Me H F i-Pr

128 H H OH i-Pr

129 H H F i-Pr

130 H Me OH i-Pr

131 H Me F i-Pr

132 Me H OH i-Pr

133 Me H F i-Pr

134 H H OH i-Pr

135 H H F i-Pr

136 H Me OH i-Pr

137 H Me F i-Pr

138 Me H OH i-Pr

139 Me H F i-Pr

140 H H OH Et

141 H H F Et

142 H Me OH Et

143 H Me F Et

144 Me H OH Et

145 Me H F Et

146 H H OH Et

147 H H F Et

148 H Me OH Et

149 H Me F Et

150 Me H OH Et

151 Me H F Et

152 H H OH Et

153 H H F Et

154 H Me OH Et

155 H Me F Et

156 Me H OH Et

157 Me H F Et

158 H H OH Et

159 H H F Et

160 H Me OH Et

161 H Me F Et

162 Me H OH Et

163 Me H F Et

164 H H OH Et

165 H H F Et

166 H Me OH Et

167 H Me F Et

168 Me H OH Et

169 Me H F Et

170 H H OH Et

171 H H F Et

172 H Me OH Et

173 H Me F Et

174 Me H OH Et

175 Me H F Et

176 H H OH Et

177 H H F Et

178 H Me OH Et

179 H Me F Et

180 Me H OH Et

181 Me H F Et

182 H H OH Et

183 H H F Et

184 H Me OH Et

185 H Me F Et

186 Me H OH Et

187 Me H F Et

188 H H OH Et

189 H H F Et

190 H Me OH Et

191 H Me F Et

192 Me H OH Et

193 Me H F Et

194 H H OH Et

195 H H F Et

196 H Me OH Et

197 H Me F Et

198 Me H OH Et

199 Me H F Et

200 H H OH i-Bu

201 H H F i-Bu

202 H Me OH i-Bu

203 H Me F i-Bu

204 Me H OH i-Bu

205 Me H F i-Bu

206 H H OH i-Bu

207 H H F i-Bu

208 H Me OH i-Bu

209 H Me F i-Bu

210 Me H OH i-Bu

211 Me H F i-Bu

212 H H OH i-Bu

213 H H F i-Bu

214 H Me OH i-Bu

215 H Me F i-Bu

216 Me H OH i-Bu

217 Me H F i-Bu

218 H H OH i-Bu

219 H H F i-Bu

220 H Me OH i-Bu

221 H Me F i-Bu

222 Me H OH i-Bu

223 Me H F i-Bu

224 H H OH i-Bu

225 H H F i-Bu

226 H Me OH i-Bu

227 H Me F i-Bu

228 Me H OH i-Bu

229 Me H F i-Bu

230 H H OH i-Bu

231 H H F i-Bu

232 H Me OH i-Bu

233 H Me F i-Bu

234 Me H OH i-Bu

235 Me H F i-Bu

236 H H OH i-Bu

237 H H F i-Bu

238 H Me OH i-Bu

239 H Me F i-Bu

240 Me H OH i-Bu

241 Me H F i-Bu

242 H H OH i-Bu

243 H H F i-Bu

244 H Me OH i-Bu

245 H Me F i-Bu

246 Me H OH i-Bu

247 Me H F i-Bu

248 H H OH i-Bu

249 H H F i-Bu

250 H Me OH i-Bu

251 H Me F i-Bu

252 Me H OH i-Bu

253 Me H F i-Bu

254 H H OH i-Bu

255 H H F i-Bu

256 H Me OH i-Bu

257 H Me F i-Bu

259 Me H OH i-Bu

260 Me H F i-Bu

compounds of Formula (IV-1) wherein R₂, R₉, R₁₂, R₁₃, and B are delineated for each example in Table 3 TABLE 3 (IV-1)

Ex- ample# R₂ R₉ R₁₂ R₁₃ B 261 OH Ph Me Me

262 F Ph Me Me

263 OH Ph Me Me

264 F Ph Me Me

265 OH Ph Me Me

266 F Ph Me Me

267 OH Ph Me Me

268 F Ph Me Me

269 OH Ph Me Me

270 F Ph Me Me

271 OH Ph Me Me

272 F Ph Me Me

273 OH Ph Me Me

274 F Ph Me Me

275 OH Ph Me Me

276 F Ph Me Me

277 OH Ph Me Me

278 F Ph Me Me

279 OH Ph Me Me

280 F Ph Me Me

281 OH 1-Naphthyl Me Me

282 F 1-Naphthyl Me Me

283 OH 1-Naphthyl Me Me

284 F 1-Naphthyl Me Me

285 OH 1-Naphthyl Me Me

286 F 1-Naphthyl Me Me

287 OH 1-Naphthyl Me Me

288 F 1-Naphthyl Me Me

289 OH 1-Naphthyl Me Me

290 F 1-Naphthyl Me Me

291 OH 1-Naphthyl Me Me

292 F 1-Naphthyl Me Me

293 OH 1-Naphthyl Me Me

294 F 1-Naphthyl Me Me

295 OH 1-Naphthyl Me Me

296 F 1-Naphthyl Me Me

297 OH 1-Naphthyl Me Me

298 F 1-Naphthyl Me Me

299 OH 1-Naphthyl Me Me

300 F 1-Naphthyl Me Me

301 OH Ph H Me

302 F Ph H Me

303 OH Ph H Me

304 F Ph H Me

305 OH Ph H Me

306 F Ph H Me

307 OH Ph H Me

308 F Ph H Me

309 OH Ph H Me

310 F Ph H Me

311 OH Ph H Me

312 F Ph H Me

313 OH Ph H Me

314 F Ph H Me

315 OH Ph H Me

316 F Ph H Me

317 OH Ph H Me

318 F Ph H Me

319 OH Ph H Me

320 F Ph H Me

321 OH 1-Naphthyl H Me

322 F 1-Naphthyl H Me

323 OH 1-Naphthyl H Me

324 F 1-Naphthyl H Me

325 OH 1-Naphthyl H Me

326 F 1-Naphthyl H Me

327 OH 1-Naphthyl H Me

328 F 1-Naphthyl H Me

329 OH 1-Naphthyl H Me

330 F 1-Naphthyl H Me

331 OH 1-Naphthyl H Me

332 F 1-Naphthyl H Me

333 OH 1-Naphthyl H Me

334 F 1-Naphthyl H Me

335 OH 1-Naphthyl H Me

336 F 1-Naphthyl H Me

337 OH 1-Naphthyl H Me

338 F 1-Naphthyl H Me

339 OH 1-Naphthyl H Me

340 F 1-Naphthyl H Me

341 OH Ph Me n-Pentyl

342 F Ph Me n-Pentyl

343 OH Ph Me n-Pentyl

344 F Ph Me n-Pentyl

345 OH Ph Me n-Pentyl

346 F Ph Me n-Pentyl

347 OH Ph Me n-Pentyl

348 F Ph Me n-Pentyl

349 OH Ph Me n-Pentyl

350 F Ph Me n-Pentyl

351 OH Ph Me n-Pentyl

352 F Ph Me n-Pentyl

353 OH Ph Me n-Pentyl

354 F Ph Me n-Pentyl

355 OH Ph Me n-Pentyl

356 F Ph Me n-Pentyl

357 OH Ph Me n-Pentyl

358 F Ph Me n-Pentyl

359 OH Ph Me n-Pentyl

360 F Ph Me n-Pentyl

361 OH 1-Naphthyl Me n-Pentyl

362 F 1-Naphthyl Me n-Pentyl

363 OH 1-Naphthyl Me n-Pentyl

364 F 1-Naphthyl Me n-Pentyl

365 OH 1-Naphthyl Me n-Pentyl

366 F 1-Naphthyl Me n-Pentyl

367 OH 1-Naphthyl Me n-Pentyl

368 F 1-Naphthyl Me n-Pentyl

369 OH 1-Naphthyl Me n-Pentyl

370 F 1-Naphthyl Me n-Pentyl

371 OH 1-Naphthyl Me n-Pentyl

372 F 1-Naphthyl Me n-Pentyl

373 OH 1-Naphthyl Me n-Pentyl

374 F 1-Naphthyl Me n-Pentyl

375 OH 1-Naphthyl Me n-Pentyl

376 F 1-Naphthyl Me n-Pentyl

377 OH 1-Naphthyl Me n-Pentyl

378 F 1-Naphthyl Me n-Pentyl

379 OH 1-Naphthyl Me n-Pentyl

380 F 1-Naphthyl Me n-Pentyl

381 OH Ph H n-Pentyl

382 F Ph H n-Pentyl

383 OH Ph H n-Pentyl

384 F Ph H n-Pentyl

385 OH Ph H n-Pentyl

386 F Ph H n-Pentyl

387 OH Ph H n-Pentyl

388 F Ph H n-Pentyl

389 OH Ph H n-Pentyl

390 F Ph H n-Pentyl

391 OH Ph H n-Pentyl

392 F Ph H n-Pentyl

393 OH Ph H n-Pentyl

394 F Ph H n-Pentyl

395 OH Ph H n-Pentyl

396 F Ph H n-Pentyl

397 OH Ph H n-Pentyl

398 F Ph H n-Pentyl

399 OH Ph H n-Pentyl

400 F Ph H n-Pentyl

401 OH 1-Naphthyl H n-Pentyl

402 F 1-Naphthyl H n-Pentyl

403 OH 1-Naphthyl H n-Pentyl

404 F 1-Naphthyl H n-Pentyl

405 OH 1-Naphthyl H n-Pentyl

406 F 1-Naphthyl H n-Pentyl

407 OH 1-Naphthyl H n-Pentyl

408 F 1-Naphthyl H n-Pentyl

409 OH 1-Naphthyl H n-Pentyl

410 F 1-Naphthyl H n-Pentyl

411 OH 1-Naphthyl H n-Pentyl

412 F 1-Naphthyl H n-Pentyl

413 OH 1-Naphthyl H n-Pentyl

414 F 1-Naphthyl H n-Pentyl

415 OH 1-Naphthyl H n-Pentyl

416 F 1-Naphthyl H n-Pentyl

417 OH 1-Naphthyl H n-Pentyl

418 F 1-Naphthyl H n-Pentyl

419 OH 1-Naphthyl H n-Pentyl

420 F 1-Naphthyl H n-Pentyl

421 OH Ph Me i-Pr

422 F Ph Me i-Pr

423 OH Ph Me i-Pr

424 F Ph Me i-Pr

425 OH Ph Me i-Pr

426 F Ph Me i-Pr

427 OH Ph Me i-Pr

428 F Ph Me i-Pr

429 OH Ph Me i-Pr

430 F Ph Me i-Pr

431 OH Ph Me i-Pr

432 F Ph Me i-Pr

433 OH Ph Me i-Pr

434 F Ph Me i-Pr

435 OH Ph Me i-Pr

436 F Ph Me i-Pr

437 OH Ph Me i-Pr

438 F Ph Me i-Pr

439 OH Ph Me i-Pr

440 F Ph Me i-Pr

441 OH 1-Naphthyl Me i-Pr

442 F 1-Naphthyl Me i-Pr

443 OH 1-Naphthyl Me i-Pr

444 F 1-Naphthyl Me i-Pr

445 OH 1-Naphthyl Me i-Pr

446 F 1-Naphthyl Me i-Pr

447 OH 1-Naphthyl Me i-Pr

448 F 1-Naphthyl Me i-Pr

449 OH 1-Naphthyl Me i-Pr

450 F 1-Naphthyl Me i-Pr

451 OH 1-Naphthyl Me i-Pr

452 F 1-Naphthyl Me i-Pr

453 OH 1-Naphthyl Me i-Pr

454 F 1-Naphthyl Me i-Pr

455 OH 1-Naphthyl Me i-Pr

456 F 1-Naphthyl Me i-Pr

457 OH 1-Naphthyl Me i-Pr

458 F 1-Naphthyl Me i-Pr

459 OH 1-Naphthyl Me i-Pr

460 F 1-Naphthyl Me i-Pr

461 OH Ph H i-Pr

462 F Ph H i-Pr

463 OH Ph H i-Pr

464 F Ph H i-Pr

465 OH Ph H i-Pr

466 F Ph H i-Pr

467 OH Ph H i-Pr

468 F Ph H i-Pr

469 OH Ph H i-Pr

470 F Ph H i-Pr

471 OH Ph H i-Pr

472 F Ph H i-Pr

473 OH Ph H i-Pr

474 F Ph H i-Pr

475 OH Ph H i-Pr

476 F Ph H i-Pr

477 OH Ph H i-Pr

478 F Ph H i-Pr

479 OH Ph H i-Pr

480 F Ph H i-Pr

481 OH 1-Naphthyl H i-Pr

482 F 1-Naphthyl H i-Pr

483 OH 1-Naphthyl H i-Pr

484 F 1-Naphthyl H i-Pr

485 OH 1-Naphthyl H i-Pr

486 F 1-Naphthyl H i-Pr

487 OH 1-Naphthyl H i-Pr

488 F 1-Naphthyl H i-Pr

489 OH 1-Naphthyl H i-Pr

490 F 1-Naphthyl H i-Pr

491 OH 1-Naphthyl H i-Pr

492 F 1-Naphthyl H i-Pr

493 OH 1-Naphthyl H i-Pr

494 F 1-Naphthyl H i-Pr

495 OH 1-Naphthyl H i-Pr

496 F 1-Naphthyl H i-Pr

497 OH 1-Naphthyl H i-Pr

498 F 1-Naphthyl H i-Pr

499 OH 1-Naphthyl H i-Pr

500 F 1-Naphthyl H i-Pr

501 OH Ph Me Benzyl

502 F Ph Me Benzyl

503 OH Ph Me Benzyl

504 F Ph Me Benzyl

505 OH Ph Me Benzyl

506 F Ph Me Benzyl

507 OH Ph Me Benzyl

508 F Ph Me Benzyl

509 OH Ph Me Benzyl

510 F Ph Me Benzyl

511 OH Ph Me Benzyl

512 F Ph Me Benzyl

513 OH Ph Me Benzyl

514 F Ph Me Benzyl

515 OH Ph Me Benzyl

516 F Ph Me Benzyl

517 OH Ph Me Benzyl

518 F Ph Me Benzyl

519 OH Ph Me Benzyl

520 F Ph Me Benzyl

521 OH 1-Naphthyl Me Benzyl

522 F 1-Naphthyl Me Benzyl

523 OH 1-Naphthyl Me Benzyl

524 F 1-Naphthyl Me Benzyl

525 OH 1-Naphthyl Me Benzyl

526 F 1-Naphthyl Me Benzyl

527 OH 1-Naphthyl Me Benzyl

528 F 1-Naphthyl Me Benzyl

529 OH 1-Naphthyl Me Benzyl

530 F 1-Naphthyl Me Benzyl

531 OH 1-Naphthyl Me Benzyl

532 F 1-Naphthyl Me Benzyl

533 OH 1-Naphthyl Me Benzyl

534 F 1-Naphthyl Me Benzyl

535 OH 1-Naphthyl Me Benzyl

536 F 1-Naphthyl Me Benzyl

537 OH 1-Naphthyl Me Benzyl

538 F 1-Naphthyl Me Benzyl

539 OH 1-Naphthyl Me Benzyl

540 F 1-Naphthyl Me Benzyl

541 OH Ph H Benzyl

542 F Ph H Benzyl

543 OH Ph H Benzyl

544 F Ph H Benzyl

545 OH Ph H Benzyl

546 F Ph H Benzyl

547 OH Ph H Benzyl

548 F Ph H Benzyl

549 OH Ph H Benzyl

550 F Ph H Benzyl

551 OH Ph H Benzyl

552 F Ph H Benzyl

553 OH Ph H Benzyl

554 F Ph H Benzyl

555 OH Ph H Benzyl

556 F Ph H Benzyl

557 OH Ph H Benzyl

558 F Ph H Benzyl

559 OH Ph H Benzyl

560 F Ph H Benzyl

561 OH 1-Naphthyl H Benzyl

562 F 1-Naphthyl H Benzyl

563 OH 1-Naphthyl H Benzyl

564 F 1-Naphthyl H Benzyl

565 OH 1-Naphthyl H Benzyl

566 F 1-Naphthyl H Benzyl

567 OH 1-Naphthyl H Benzyl

568 F 1-Naphthyl H Benzyl

569 OH 1-Naphthyl H Benzyl

570 F 1-Naphthyl H Benzyl

571 OH 1-Naphthyl H Benzyl

572 F 1-Naphthyl H Benzyl

573 OH 1-Naphthyl H Benzyl

574 F 1-Naphthyl H Benzyl

575 OH 1-Naphthyl H Benzyl

576 F 1-Naphthyl H Benzyl

577 OH 1-Naphthyl H Benzyl

578 F 1-Naphthyl H Benzyl

579 OH 1-Naphthyl H Benzyl

580 F 1-Naphthyl H Benzyl

581 OH Ph Me t-BuCH₂—

582 F Ph Me t-BuCH₂—

583 OH Ph Me t-BuCH₂—

584 F Ph Me t-BuCH₂—

585 OH Ph Me t-BuCH₂—

586 F Ph Me t-BuCH₂—

587 OH Ph Me t-BuCH₂—

588 F Ph Me t-BuCH₂—

589 OH Ph Me t-BuCH₂—

590 F Ph Me t-BuCH₂—

591 OH Ph Me t-BuCH₂—

592 F Ph Me t-BuCH₂—

593 OH Ph Me t-BuCH₂—

594 F Ph Me t-BuCH₂—

595 OH Ph Me t-BuCH₂—

596 F Ph Me t-BuCH₂—

597 OH Ph Me t-BuCH₂—

598 F Ph Me t-BuCH₂—

599 OH Ph Me t-BuCH₂—

600 F Ph Me t-BuCH₂—

601 OH 1-Naphthyl Me t-BuCH₂—

602 F 1-Naphthyl Me t-BuCH₂—

603 OH 1-Naphthyl Me t-BuCH₂—

604 F 1-Naphthyl Me t-BuCH₂—

605 OH 1-Naphthyl Me t-BuCH₂—

606 F 1-Naphthyl Me t-BuCH₂—

607 OH 1-Naphthyl Me t-BuCH₂—

608 F 1-Naphthyl Me t-BuCH₂—

609 OH 1-Naphthyl Me t-BuCH₂—

610 F 1-Naphthyl Me t-BuCH₂—

611 OH 1-Naphthyl Me t-BuCH₂—

612 F 1-Naphthyl Me t-BuCH₂—

613 OH 1-Naphthyl Me t-BuCH₂—

614 F 1-Naphthyl Me t-BuCH₂—

615 OH 1-Naphthyl Me t-BuCH₂—

616 F 1-Naphthyl Me t-BuCH₂—

617 OH 1-Naphthyl Me t-BuCH₂—

618 F 1-Naphthyl Me t-BuCH₂—

619 OH 1-Naphthyl Me t-BuCH₂—

620 F 1-Naphthyl Me t-BuCH₂—

621 OH Ph H t-BuCH₂—

622 F Ph H t-BuCH₂—

623 OH Ph H t-BuCH₂—

624 F Ph H t-BuCH₂—

625 OH Ph H t-BuCH₂—

626 F Ph H t-BuCH₂—

627 OH Ph H t-BuCH₂—

628 F Ph H t-BuCH₂—

629 OH Ph H t-BuCH₂—

630 F Ph H t-BuCH₂—

631 OH Ph H t-BuCH₂—

632 F Ph H t-BuCH₂—

633 OH Ph H t-BuCH₂—

634 F Ph H t-BuCH₂—

635 OH Ph H t-BuCH₂—

636 F Ph H t-BuCH₂—

637 OH Ph H t-BuCH₂—

638 F Ph H t-BuCH₂—

639 OH Ph H t-BuCH₂—

640 F Ph H t-BuCH₂—

641 OH 1-Naphthyl H t-BuCH₂—

642 F 1-Naphthyl H t-BuCH₂—

643 OH 1-Naphthyl H t-BuCH₂—

644 F 1-Naphthyl H t-BuCH₂—

645 OH 1-Naphthyl H t-BuCH₂—

646 F 1-Naphthyl H t-BuCH₂—

647 OH 1-Naphthyl H t-BuCH₂—

648 F 1-Naphthyl H t-BuCH₂—

649 OH 1-Naphthyl H t-BuCH₂—

650 F 1-Naphthyl H t-BuCH₂—

651 OH 1-Naphthyl H t-BuCH₂—

652 F 1-Naphthyl H t-BuCH₂—

653 OH 1-Naphthyl H t-BuCH₂—

654 F 1-Naphthyl H t-BuCH₂—

655 OH 1-Naphthyl H t-BuCH₂—

656 F 1-Naphthyl H t-BuCH₂—

657 OH 1-Naphthyl H t-BuCH₂—

658 F 1-Naphthyl H t-BuCH₂—

659 OH 1-Naphthyl H t-BuCH₂—

660 F 1-Naphthyl H t-BuCH₂—

compounds of Formula (V-1) wherein R₂, R_(8a), R_(8b), R₁₄, and B are delineated for each example in Table 4 TABLE 4 (V-1)

Example # R₂ R₁₄ NR_(8a)R_(8b) B 661 OH

662 F

663 OH

664 F

665 OH

666 F

667 OH

668 F

669 OH

670 F

671 OH

672 F

673 OH

674 F

675 OH

676 F

677 OH

678 F

679 OH

680 F

681 OH

682 F

683 OH

684 F

685 OH

686 F

687 OH

688 F

689 OH

690 F

691 OH

692 F

693 OH

694 F

695 OH

696 F

697 OH

698 F

699 OH

700 F

701 OH

702 F

703 OH

704 F

705 OH

706 F

707 OH

708 F

709 OH

710 F

711 OH

712 F

713 OH

714 F

715 OH

716 F

717 OH

718 F

719 OH

720 F

721 OH

722 F

723 OH

724 F

725 OH

726 F

727 OH

728 F

729 OH

730 F

731 OH

732 F

733 OH

734 F

735 OH

736 F

737 OH

738 F

739 OH

740 F

741 OH

742 F

743 OH

744 F

745 OH

746 F

747 OH

748 F

749 OH

750 F

751 OH

752 F

753 OH

754 F

755 OH

756 F

757 OH

758 F

759 OH

760 F

761 OH

762 F

763 OH

764 F

765 OH

766 F

767 OH

768 F

769 OH

770 F

771 OH

772 F

773 OH

774 F

775 OH

776 F

777 OH

778 F

779 OH

780 F

781 OH

782 F

783 OH

784 F

785 OH

786 F

787 OH

788 F

789 OH

790 F

791 OH

792 F

793 OH

794 F

795 OH

796 F

797 OH

798 F

799 OH

800 F

801 OH

802 F

803 OH

804 F

805 OH

806 F

807 OH

808 F

809 OH

810 F

811 OH

812 F

813 OH

814 F

815 OH

816 F

817 OH

818 F

819 OH

820 F

and compounds of Formula (VI-1) wherein R₂, R_(5a), R_(5b), R₆, and B are delineated for each example in Table 5 TABLE 5 (VI-1)

Example # R₆ R_(5a) R_(5b) R₂ B 821 i-Pr H H OH

822 i-Pr H H F

823 i-Pr H Me OH

824 i-Pr H Me F

825 i-Pr Me H OH

826 i-Pr Me H F

827 i-Pr H H OH

828 i-Pr H H F

829 i-Pr H Me OH

830 i-Pr H Me F

831 i-Pr Me H OH

832 i-Pr Me H F

833 i-Pr H H OH

834 i-Pr H H F

835 i-Pr H Me PH

836 i-Pr H Me F

837 i-Pr Me H OH

838 i-Pr Me H F

839 i-Pr H H OH

840 i-Pr H H F

841 i-Pr H Me OH

842 i-Pr H Me F

843 i-Pr Me H OH

844 i-Pr Me H F

845 i-Pr H H OH

846 i-Pr H H F

847 i-Pr H Me OH

848 i-Pr H Me F

849 i-Pr Me H OH

850 i-Pr Me H F

851 i-Pr H H OH

852 i-Pr H H F

853 i-Pr H Me OH

854 i-Pr H Me F

855 i-Pr Me H OH

856 i-Pr Me H F

857 i-Pr H H OH

858 i-Pr H H F

859 i-Pr H Me OH

860 i-Pr H Me F

861 i-Pr Me H OH

862 i-Pr Me H F

863 i-Pr H H OH

864 i-Pr H H F

865 i-Pr Me Me OH

866 i-Pr H Me F

867 i-Pr H Me OH

868 i-Pr Me H F

869 i-Pr H H OH

870 i-Pr H H F

871 i-Pr H Me OH

872 i-Pr H Me F

873 i-Pr Me H OH

874 i-Pr Me H F

875 i-Pr H H OH

876 i-Pr H H F

877 i-Pr H Me OH

878 i-Pr H Me F

879 i-Pr Me H OH

880 i-Pr Me H F

881 Et H H OH

882 Et H H F

883 Et H Me OH

884 Et H Me F

885 Et Me H OH

886 Et Me H F

887 Et H H OH

888 Et H H F

889 Et H Me OH

890 Et H Me F

891 Et Me H OH

892 Et Me H F

893 Et H H OH

894 Et H H F

895 Et H Me OH

896 Et H Me F

897 Et Me H OH

898 Et Me H F

899 Et H H OH

900 Et H H F

901 Et H Me OH

902 Et H Me F

903 Et Me H OH

904 Et Me H F

905 Et H H OH

906 Et H H F

907 Et H Me OH

908 Et H Me F

909 Et Me H OH

910 Et Me H F

911 Et H H OH

912 Et H H F

913 Et H Me OH

914 Et H Me F

915 Et Me H OH

916 Et Me H F

917 Et H H OH

918 Et H H F

919 Et H Me OH

920 Et H Me F

921 Et Me H OH

922 Et Me H F

923 Et H H OH

924 Et H H F

925 Et H Me OH

926 Et H Me F

927 Et Me H OH

928 Et Me H F

929 Et H H OH

930 Et H H F

931 Et H Me OH

932 Et H Me F

933 Et Me H OH

934 Et Me H F

935 Et H H OH

936 Et H H F

937 Et H Me OH

938 Et H Me F

939 Et Me H OH

940 Et Me H F


9. A pharmaceutical composition comprising an inhibitory amount of a compound according to claim 1, in combination with a pharmaceutically acceptable carrier or excipient.
 10. A method of treating a viral infection in a subject, comprising administering to the subject an inhibitory amount of a pharmaceutical composition according to claim
 9. 11. The method according to claim 10, wherein the viral infection is hepatitis C virus.
 12. A method of inhibiting the replication of hepatitis C virus, the method comprising supplying a hepatitis C viral NS3 protease inhibitory amount of the pharmaceutical composition of claim
 9. 13. The method of claim 10 further comprising administering concurrently an additional anti-hepatitis C virus agent.
 14. The method of claim 11, wherein said additional anti-hepatitis C virus agent is selected from the group consisting of α-interferon, β-interferon, ribavarin, and adamantine.
 15. The method of claim 12, wherein said additional anti-hepatitis C virus agent is an inhibitor of hepatitis C virus helicase, polymerase, metalloprotease, or IRES.
 16. The pharmaceutical composition of claim 9, further comprising another anti-HCV agent.
 17. The pharmaceutical composition of claim 9, further comprising an agent selected from interferon, ribavirin, amantadine, another HCV protease inhibitor, an HCV polymerase inhibitor, an HCV helicase inhibitor, or an internal ribosome entry site inhibitor.
 18. The pharmaceutical composition of claim 9, further comprising pegylated interferon.
 19. The pharmaceutical composition of claim 9, further comprising another anti-viral, anti-bacterial, anti-fungal or anti-cancer agent, or an immune modulator.
 20. The composition of claim 9, further comprising a cytochrome P450 monooxygenase inhibitor or a pharmaceutically acceptable salt thereof.
 21. The composition of claim 20, wherein the cytochrome P450 mooxygenase inhibitor is ritonavir.
 22. A method of treating a hepatitis C viral infection in a subject in need thereof comprising administering to the subject a cytochrome P450 monooxygenase inhibitor or a pharmaceutically acceptable salt thereof and a compound as set forth in claim
 1. 